Document Detail


Improving care transitions: the patient perspective.
MedLine Citation:
PMID:  23030579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After hospital discharge, patients commonly suffer potentially avoidable adverse events and hospital readmissions. As hospitals implement interventions to improve discharge transitions, it is important to understand patients' perspectives on which intervention components are most beneficial. This study examined a sample of 125 patients randomized to the intervention arm of the Pharmacist Intervention for Low Literacy in Cardiovascular Disease study who completed a telephone survey about the helpfulness of different components of the intervention, which included medication reconciliation, inpatient counseling, simple adherence aids, and telephone follow-up. The majority of patients indicated that it was "very helpful" to speak with a pharmacist about their medications before discharge (72.8%), particularly about how to take the medications and how to prevent and manage side effects. Receiving an illustrated medication list (69.6%) and a follow-up phone call after discharge (68.0%) were also considered very helpful. Patients with limited health literacy indicated the greatest benefit. Patients also reported feeling more comfortable speaking with their outpatient providers about their medications after receiving the intervention. In conclusion, patients--particularly those with limited health literacy--found a hospital pharmacist-based intervention to be very helpful and empowering.
Authors:
Courtney Cawthon; Sheena Walia; Chandra Y Osborn; Kurt J Niesner; Jeffrey L Schnipper; Sunil Kripalani
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of health communication     Volume:  17 Suppl 3     ISSN:  1087-0415     ISO Abbreviation:  J Health Commun     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-03     Completed Date:  2012-12-12     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  9604100     Medline TA:  J Health Commun     Country:  United States    
Other Details:
Languages:  eng     Pagination:  312-24     Citation Subset:  T    
Affiliation:
Vanderbilt Center for Health Services Research, Institute for Medicine and Public Health, Vanderbilt University, Nashville, Tennessee 37232, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiovascular Diseases / drug therapy
Female
Health Literacy / statistics & numerical data
Humans
Male
Middle Aged
Patient Discharge / standards*
Patient Satisfaction / statistics & numerical data*
Pharmacy Service, Hospital / organization & administration*
Grant Support
ID/Acronym/Agency:
K01 DK087894/DK/NIDDK NIH HHS; K08 HL072806/HL/NHLBI NIH HHS; K23 HL077597/HL/NHLBI NIH HHS; R01 HL089755/HL/NHLBI NIH HHS; UL1 RR024975/RR/NCRR NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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