Understanding Patients’ Decisions to Obtain Unplanned, High-Resource Health Care After Colorectal Surgery
| Autor: | Karyn B. Stitzenberg, Timothy S. Carey, Alessandro Fichera, Paul Mihas, Stephanie T Lumpkin, Eileen Harvey |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
caregivers medicine.medical_specialty emergency care health seeking Aftercare users’ experiences Patient Readmission health behavior determinants of health Health care Humans Medicine Prospective Studies Social determinants of health crisis management Prospective cohort study Research Articles Surgical team behavior business.industry Information seeking Public Health Environmental and Occupational Health health decision-making Emergency department information seeking medicine.disease health care Southeastern United States Patient Discharge Colorectal surgery Stratified sampling crisis qualitative caretaking Medical emergency Emergency Service Hospital business Colorectal Surgery Delivery of Health Care |
| Zdroj: | Qualitative Health Research |
| ISSN: | 1552-7557 1049-7323 |
| DOI: | 10.1177/10497323211002479 |
| Popis: | Readmissions and emergency department (ED) visits after colorectal surgery (CRS) are common, burdensome, and costly. Effective strategies to reduce these unplanned postdischarge health care visits require a nuanced understanding of how and why patients make the decision to seek care. We used a purposefully stratified sample of 18 interview participants from a prospective cohort of adult CRS patients. Thirteen (72%) participants had an unplanned postdischarge health care visit. Participant decision-making was classified by methodology (algorithmic, guided, or impulsive), preexisting rationale, and emotional response to perceived health care needs. Participants voiced clear mental algorithms about when to visit an ED. In addition, participants identified facilitators and barriers to optimal health care use. They also identified tangible targets for health care utilization reduction efforts, such as improved care coordination with streamlined discharge instructions and improved communication with the surgical team. Efforts should be directed at improving postdischarge communication and care coordination to reduce CRS patients’ high-resource health care utilization. |
| Databáze: | OpenAIRE |
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