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Seeking support after hospitalisation for injury: A nested qualitative study of the role of primary care

Christie, Nicola; Beckett, Kate; Earthy, Sarah; Kellezi, Blerina; Sleney, Jude; Barnes, Jo; Jones, Trevor; Kendrick, Denise

Authors

Nicola Christie

Kate Beckett Kate2.Beckett@uwe.ac.uk
Research Fellow in NIHR Knowledge Mobilisat

Sarah Earthy

Blerina Kellezi

Jude Sleney

Jo Barnes

Trevor Jones

Denise Kendrick



Abstract

© 2016 British Journal of General Practice. Background In the UK, studies suggest that the transition from hospital to home after an injury can be a difficult time and many patients report feeling inadequately prepared. Patients often use primary care services after hospital discharge. These consultations provide opportunities to consider problems that patients experience and to facilitate recovery. Little is known, however, about how patients and service providers view care after hospital discharge and the role played by primary care services, specifically GPs. Aim To identify good practice and unmet needs in respect of post-discharge support for injured patients. Design and setting Qualitative study using semi-structured interviews at four sites (Bristol, Leicester/Loughborough, Nottingham, and Surrey). Method Qualitative interviews with 40 service providers and 45 hospitalised injured patients. Results Although there were examples of wellmanaged hospital discharges, many patients felt they were not provided with the information they needed about their injury, what to expect in terms of recovery, pain control, return to work, psychological problems, and services to help meet their needs. They also described difficulty accessing services such as physiotherapy or counselling. Service providers identified problems with communication between secondary and primary care, lack of access to physiotherapy, poor communication about other services that may help patients, GP service and resource constraints, and difficulties in providing information to patients concerning likely prognosis. Conclusion Discharge from hospital after an injury can be problematic for patients. Changes in both secondary and primary care are required to resolve this problem.

Journal Article Type Article
Publication Date Jan 1, 2016
Journal British Journal of General Practice
Print ISSN 0960-1643
Publisher Royal College of General Practitioners
Peer Reviewed Peer Reviewed
Volume 66
Issue 642
Pages e24-e31
APA6 Citation Christie, N., Beckett, K., Earthy, S., Kellezi, B., Sleney, J., Barnes, J., …Kendrick, D. (2016). Seeking support after hospitalisation for injury: A nested qualitative study of the role of primary care. British Journal of General Practice, 66(642), e24-e31. https://doi.org/10.3399/bjgp15X688141
DOI https://doi.org/10.3399/bjgp15X688141
Keywords general practitioners, injury,patient discharge, primary health care
Publisher URL http://dx.doi.org/10.3399/bjgp15X688141
Related Public URLs http://www.ncbi.nlm.nih.gov/pubmed/26639949