Implementation of a complex intervention to improve hospital discharge: process evaluation of a cluster randomised controlled trial.

ABSTRACT:

Objectives

To study the implementation of a cluster randomised controlled effectiveness-implementation hybrid trial testing the effectiveness of a medication review at hospital discharge combined with a communication stimulus between hospital physicians (HPs) and general practitioners (GPs) on rehospitalisation of multimorbid older patients.

Design

Extension of Grant's mixed method process evaluation framework to trials with multilevel clustering.

Setting

General internal medicine wards in Swiss hospitals.

Participants

Convenience samples of 15 chief physicians (of 21 hospitals participating in the effectiveness trial), 60 (74) senior HPs, 65 (164) junior HPs and 187 (411) GPs.

Implementation strategy

Two-hour teaching sessions for senior HPs on a patien

SUBMITTER: Rachamin Y 

PROVIDER: S-EPMC8162085 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature