How Hospital Clinicians Select Patients for Skilled Nursing Facilities.

ABSTRACT:

Objective

To understand how hospital-based clinicians evaluate older adults in the hospital and decide who will be transferred to a skilled nursing facility (SNF) for postacute care.

Design

Semistructured interviews paired with a qualitative analytical approach informed by Social Constructivist theory.

Setting

Inpatient care units in three hospitals. Purposive sampling was used to maximize variability in hospitals, units within hospitals, and staff on those units.

Participants

Clinicians (hospitalists, nurses, therapists, social workers, case managers) involved in evaluation and decision-making regarding postacute care (N = 25).

Measurements

Central themes related to clinician evaluation and discharge decision-making.

Results

Clinicians described

SUBMITTER: Burke RE 

PROVIDER: S-EPMC5681432 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature