| Autor: |
Paulson, Nels, Paulson, Margaret P., Maniaci, Michael J., Rutledge, Rachel A., Inselman, Shealeigh, Zawada, Stephanie J. |
| Předmět: |
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| Zdroj: |
Journal of Patient Experience; 8/7/2023, p1-9, 9p |
| Abstrakt: |
To understand why US patients refused participation in hospital-at-home (H@H) during the coronavirus disease 2019 Public Health Emergency, eligible adult patients seen at 2 Mayo Clinic sites, Mayo Clinic Health System—Northwest Wisconsin region (NWWI) and Mayo Clinic Florida (MCF), from August 2021 through March 2022, were invited to participate in a convergent-parallel study. Quantitative associations between H@H participation status and patient baseline data at hospital admission were investigated. H@H patients were more likely to have a Mayo Clinic patient portal at baseline (P -value:.014), indicating a familiarity with telehealth. Patients who refused were more likely to be from NWWI (P -value <.001) and have a higher Epic Deterioration Index score (P -value:.004). The groups also had different quarters (in terms of fiscal calendar) of admission (P -value:.040). Analyzing qualitative interviews (n = 13) about refusal reasons, 2 themes portraying the quantitative associations emerged: lack of clarity about H@H and perceived domestic challenges. To improve access to H@H and increase patient recruitment, improved education about the dynamics of H@H, for both hospital staff and patients, and inclusive strategies for navigating domestic barriers and diagnostic challenges are needed. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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