Aspects of Hospital-based Interprofessional Support for Cardiovascular Disease Patients Who Continued Home Care after Discharge; A Qualitative Study

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  • 循環器疾患をもつ在宅療養継続者に対する病院内の多職種連携による支援に関する質的研究
  • ジュンカンキ シッカン オ モツ ザイタク リョウヨウ ケイゾクシャ ニ タイスル ビョウイン ナイ ノ タショクシュ レンケイ ニ ヨル シエン ニ カンスル シツテキ ケンキュウ

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Abstract

<p>Aim: It is important for interprofessional medical staff to help patients with discharge and continuation of home care. We aimed to elucidate the aspects of interprofessional support for patients who continued home care after discharge and the factors which enabled this support.</p><p>Methods: We conducted a qualitative descriptive study at one hospital in Japan. We selected two cardiovascular disease patients who had been discharged, visited the outpatient department regularly, and were not re-hospitalized from April 2014 to March 2016. To determine the support available to patients, we conducted semi-structured interviews with seven medical professionals such as doctors, nurses, a pharmacist, and a physical therapist from March to September 2016. The ethics review committee of the university to which the first author belonged approved this research.</p><p>Results: Our participants supported the patients from hospitalization to outpatient visits, helping them continue their self-care and building trust relationships by remaining involved with them. In carrying out such support, our participants reached a consensus on treatment policy with other interprofessional medical staff. The consensus was established on the basis of good relations that made consultations easy.</p><p>Discussion: The results of this research suggest the following key points in interprofessional support for patients’ home care. Interprofessional medical staff need to provide their patients with continuous support for their self-care, acutually meeting with them. In addition, interprofessional medical staff not only need to share their patients’ goals but truly understand the value of interprofessional collaboration.</p>

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