Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care

Dew, Rosie and Wilkes, Scott (2018) Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care. British Journal of General Practice. ISSN 0960-1643

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Abstract

Background
There is little evidence documenting the
attitudes, experiences, and behavioural factors
of high-risk patients that are associated with
avoiding hospital.
Aim
To explore the health, healthcare management,
and behavioural factors that contribute to
enabling high-risk patients to avoid unplanned
hospital admissions.
Design and setting
This was an in-depth qualitative, primary
care, interview study with patients who
were registered on the Northumberland
High Risk Patient Programme (NHRPP) in
Northumberland, UK.
Method
There were 30 participants in this study; of
which 21 were high-risk patients and nine were
carers, spouses, or relatives. A grounded theory
approach was used to explore themes that
emerged from the semi-structured interviews.
Results
Participants described physical enablers that
helped them avoid hospital including medication,
living aids, and resting; however, the benefit of
these may be challenged by patient decisionmaking.
The strategies that patients used to cope
with their health conditions included acceptance,
positive reinterpretation, and growth. Participants
felt that support networks of family and friends
helped them avoid hospital, although the strain on
the spouse should be considered. The majority of
patients described having trust and confidence in
their healthcare providers, and continuity of care
was important to patients. [AQ2: reordering of
Results ok, to match main text RESULTS?]
Conclusion
Reinforcing the importance of the physical
enablers, as well as support networks to patients,
carers, and healthcare providers could help
patients avoid hospital. Highlighting the coping
strategies that patients use may help patients
manage their health, while promoting continuity
of care will also contribute to helping high-risk
patients avoid unplanned hospital admissions.
Keywords
frail elderly; high-risk patients; hospital
avoidance; unplanned admissions.

Item Type: Article
Subjects: Sciences > Health Sciences
Divisions: Faculty of Health Sciences and Wellbeing
Depositing User: Rosie Dew
Date Deposited: 12 Jun 2018 16:03
Last Modified: 13 Jun 2018 09:07
URI: http://sure.sunderland.ac.uk/id/eprint/9315

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