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Developing a New Model of Care for Patients' Medication Supply at Hospital Discharge: A Multi-Perspective Approach

Wright, S (2017) Developing a New Model of Care for Patients' Medication Supply at Hospital Discharge: A Multi-Perspective Approach. Doctoral thesis, Liverpool John Moores University.

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Abstract

Hospital discharge is a complex process that can result in errors and delays for patients, particularly around the supply of medicines and communication of information. This programme of work (PoW) aimed to develop an innovative model of care for the supply of medication at hospital discharge to provide safe, quality and effective transfer for patients from hospital to community care. The PoW consisted of four phases which used both quantitative and qualitative approaches. Phase 1 involved semi-structured telephone interviews with 13 Chief Pharmacists. Analysis identified the current discharge process across the range of hospitals as well as key issues and examples of good practice at discharge. Discharge processes were similar across hospitals with issues common to all. Phase 2 used questionnaires to establish patient perceptions of the current discharge process in a large city-centre teaching hospital. The 104 inpatients recruited were 60% (n=62) male, average age was 55 (range 19-93), from both medical and surgical wards. Most patients, 89% (n=87) were satisfied with their hospital discharge but believed it took too long. The perceived main cause of delay was waiting for medicines. Other highlighted issues included limited counselling by pharmacists and a need for more patient involvement at discharge. Phase 3 utilised findings from phases 1 and 2 to inform the development of a new model of care for patient discharge. Phase 4 consisted of semi-structured interviews and focus groups with stakeholders in patient discharge (n=37), to evaluate the proposed new model of care. Stakeholders successfully evaluated the new model, highlighting areas of the new model of care that would work well and where problems may arise. The model of care was refined based on these findings, with the suggestions for overcoming logistical issues considered. The PoW successfully developed an innovative model of care for patient discharge.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: clinical pharmacy; hospital discharge; service development; quality in healthcare; patient experience
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Pharmacy & Biomolecular Sciences
Date Deposited: 30 Jun 2017 07:50
Last Modified: 30 Jun 2017 07:50
Supervisors: Morecroft, CW and Mullen, R and Ewing, A
URI: http://researchonline.ljmu.ac.uk/id/eprint/6725

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