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The key actor: a qualitative study of patient participation in the handover process in Europe.

Abstract：

BACKGROUND:Patient safety experts have postulated that increasing patient participation in communications during patient handovers will improve the quality of patient transitions, and that this may reduce hospital readmissions. Choosing strategies that enhance patient safety through improved handovers requires better understanding of patient experiences and preferences for participation. OBJECTIVE:The aim of this paper is to explore the patients' experiences and perspectives related to the handovers between their primary care providers and the inpatient hospital. METHODS:A qualitative secondary analysis was performed, based on individual and focus group patient interviews with 90 patients in five European countries. RESULTS:The analysis revealed three themes: patient positioning in the handover process; prerequisites for patient participation and patient preferences for the handover process. Patients' participation ranged from being the key actor, to sharing the responsibility with healthcare professional(s), to being passive participants. For active participation patients required both personal and social resources as well as prerequisites such as information and respect. Some patients preferred to be the key actor in charge; others preferred their healthcare professionals to be the key actors in the handover. CONCLUSIONS:Patients' participation is related to the healthcare system, the activity of healthcare professionals' and patients' capacity for participation. Patients prefer a handover process where the responsibility is clear and unambiguous. Healthcare organisations need a clear and well-considered system of responsibility for handover processes, that takes into account the individual patient's need of clarity, and support in relation to his/hers own recourses.

journal_name

BMJ Qual Saf

journal_title

BMJ quality & safety

authors

Flink M,Hesselink G,Pijnenborg L,Wollersheim H,Vernooij-Dassen M,Dudzik-Urbaniak E,Orrego C,Toccafondi G,Schoonhoven L,Gademan PJ,Johnson JK,Öhlén G,Hansagi H,Olsson M,Barach P,HANDOVER Research Collaborative.

doi

10.1136/bmjqs-2012-001171

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

i89-96

eissn

2044-5415

issn

2044-5423

pii

bmjqs-2012-001171

journal_volume

21 Suppl 1

pub_type

杂志文章,多中心研究

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The key actor: a qualitative study of patient participation in the handover process in Europe.