Exploring interdependencies, vulnerabilities, gaps and bridges in care transitions of patients with complex care needs using the Functional Resonance Analysis Method.

ABSTRACT:

Background

Hospital discharge is a complex process encompassing multiple interactions and requiring coordination. To identify potential improvement measures in care transitions for people with complex care needs, intra- and inter-organisational everyday work needs to be properly understood, including its interdependencies, vulnerabilities and gaps. The aims of this study were to 1) map coordination and team collaboration across healthcare and social care organisations, 2) describe interdependencies and system variability in the discharge process for older people with complex care needs, and 3) evaluate the alignment between discharge planning and the needs in the home.

Methods

Data were collected through participant observations, interviews, and document review in a region o

SUBMITTER: Hedqvist AT 

PROVIDER: S-EPMC10422836 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature