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. 2024 Nov 22:17:5457-5471.
doi: 10.2147/JMDH.S484187. eCollection 2024.

Exploring Stakeholder Perspectives on the Transitional Care Needs of Elderly Patients from Hospital to Home: A Phenomenological Study in Shanxi Province, China

Wanling Li #  1   2 , Shufang Shi #  2 , Yajie Shi  2 , Xiaofang Feng  2 , Yueqin Li  2 , Yuli Guo  2 , Jiajia Xu  2 , Liping Cui  2 , Mei Wang  1
Affiliations

Exploring Stakeholder Perspectives on the Transitional Care Needs of Elderly Patients from Hospital to Home: A Phenomenological Study in Shanxi Province, China

Wanling Li et al. J Multidiscip Healthc. .

Abstract

Background: Elderly patients, due to their complex medical conditions and extensive care needs, are at risk of experiencing low-quality or fragmented care during transitions between different healthcare settings. After transitioning from hospital to home, inadequate self-care abilities may result in further health deterioration and increased risks of adverse outcomes. Currently, China lacks effective transitional support services from hospital to home, hindering the smooth transition for elderly patients. Therefore, understanding the specific care needs of elderly patients during this period provides a scientific basis for establishing reasonable transitional support services.

Objective: This study aims to explore the transitional care needs of elderly patients during the hospital-to-home transition, as perceived by key stakeholders-patients, caregivers, and nurses-using Shanxi Province as a case example.

Methods: A descriptive phenomenological method was employed in this study. Purposeful sampling selected 10 elderly patients, 5 caregivers, and 5 nursing staff from a tertiary hospital in Shanxi Province, China, for semi-structured in-depth interviews. The Colaizzi's analysis was used in data analysis.

Results: The transitional care needs of elderly patients from hospital to home can be summarized into four themes: the need to enhance self-care abilities, the need for professional guidance, the need for social and psychological support, and the need for healthcare service resources.

Conclusion: Elderly patients have diverse care needs during the hospital-to-home transition, which require urgent attention and support. To address these needs, healthcare professionals should conduct comprehensive assessments during the patients' hospitalization, accurately identifying care issues and implementing team-based interventions. By fulfilling these needs, healthcare providers can ensure that elderly patients are well-prepared psychologically, possess sufficient knowledge and self-care skills, and have access to comprehensive support services from hospitals and communities as they transition from professional hospital care to home self-care.

Keywords: elderly patients; needs; qualitative study; stakeholders; transitional care.

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Conflict of interest statement

All authors declare no conflicts of interest in this work.

References

    1. World Health Organization. Ageing and health. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Accessed April 7, 2020.
    1. National Bureau of Statistics of the People’s Republic of China. The seventh national census bulletin (No. 5). (In Chinese). 2021. Available from:https://www.gov.cn/quoqing/2021-05/13/content5606149.htm. Accessed October 12, 2024.
    1. National Development Bulletin on Aging in the People’s Republic of China. (In Chinese). 2022. Available from: https://www.gov.cn/govweb/lianbo/bumen/202312/content_6920261.htm. Accessed December 14, 2023.
    1. National Health Commission of the People’s Republic of China. China Health Statistical Yearbook. Beijing: Peking Union Medical College Press; 2021.
    1. He L, La Y, Yan Y, et al. The prevalence and burden of four major chronic diseases in the Shanxi Province of Northern China. Front Public Health. 2022;10:985192. doi:10.3389/fpubh.2022.985192 - DOI - PMC - PubMed

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