[Closing care gaps after hospitalization: Study results [intersec-CM] on discharge and transfer management according to sect. 39 SGB V for people with cognitive impairments associated with dementia].

Autor: Schumacher-Schönert F; Deutsches Zentrum für neurodegenerative Erkrankungen (DZNE), Rostock/Greifswald, Greifswald, Deutschland. Electronic address: fanny.schumacher-schoenert@dzne.de., Boekholt M; Deutsches Zentrum für neurodegenerative Erkrankungen (DZNE), Rostock/Greifswald, Greifswald, Deutschland., Nikelski A; Evangelisches Klinikum Bethel, Universitätsklinikum OWL der Universität Bielefeld, Universitätsklinik für Psychiatrie und Psychotherapie, Abteilung für Gerontopsychiatrie, Bielefeld, Deutschland., Chikhradze N; Ruhr-Universität Bochum, Abteilung für Allgemeinmedizin, Bochum, Deutschland., Lücker P; Institut für Community Medicine, Abteilung 'Epidemiology of Health Care and Community Health', Universität Greifswald, Greifswald, Deutschland., Kracht F; Deutsches Zentrum für neurodegenerative Erkrankungen (DZNE), Rostock/Greifswald, Greifswald, Deutschland., Vollmar HC; Ruhr-Universität Bochum, Abteilung für Allgemeinmedizin, Bochum, Deutschland., Hoffmann W; Deutsches Zentrum für neurodegenerative Erkrankungen (DZNE), Rostock/Greifswald, Greifswald, Deutschland; Institut für Community Medicine, Abteilung 'Epidemiology of Health Care and Community Health', Universität Greifswald, Greifswald, Deutschland., Kreisel S; Evangelisches Klinikum Bethel, Universitätsklinikum OWL der Universität Bielefeld, Universitätsklinik für Psychiatrie und Psychotherapie, Abteilung für Gerontopsychiatrie, Bielefeld, Deutschland., Thyrian JR; Deutsches Zentrum für neurodegenerative Erkrankungen (DZNE), Rostock/Greifswald, Greifswald, Deutschland.
Jazyk: němčina
Zdroj: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen [Z Evid Fortbild Qual Gesundhwes] 2024 Apr; Vol. 185, pp. 35-44. Date of Electronic Publication: 2024 Feb 21.
DOI: 10.1016/j.zefq.2024.01.001
Abstrakt: In Germany, there are 1.8 million people currently living with dementia, and the trend is rising. In particular, the health system at the transition from hospital to outpatient care is facing major challenges given the high increase in a difficult patient clientele. Legal efforts have been undertaken (sect. 39a of the Fifth Social Code Book [SGB V]) to close the care gaps in the discharge and transfer process. This article aims to provide an overview of the documentation process of the discharge and transfer management for people with cognitive impairments in everyday clinical practice according to SGB V sect. 39 para. 1a after the Discharge Management Act came into force. Furthermore, the manuscript answers the research question "How is the statutory discharge management of people with cognitive impairments (MmkB) aged 65 and over documented" and highlights further characteristics of the discharge documentation for MmkB starting with the transition from the inpatient setting to other care settings. In order to answer the research question(s), a qualitative content analysis of all discharge documents available at the time of discharge was carried out as part of the intervention study on cross-sector care management to support cognitively impaired people during and after a hospital stay [intersec-CM], which was funded by the Federal Ministry of Education and Research. The results of the analysis show that, despite legal efforts, there are currently no standardized, unified processes of discharge management for people with cognitive impairments that can be traced in writing. However, departments with a large proportion of vulnerable patient groups were able to offer valuable insights: for example, their discharge documents included a short social history. Further evidence-based research and development in the domain of discharge management for people with cognitive impairments remains essential.
(Copyright © 2024. Published by Elsevier GmbH.)
Databáze: MEDLINE
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