From: Exploring physicians’ decision-making in hospital readmission processes - a comparative case study
Theme | Category | Sub-category | Codes |
---|---|---|---|
T2: Lack of coordination, access to and continuity in the patient information flow | Information exchange | Lack of coordination between primary and secondary healthcare services | Communication between the municipal healthcare service and the hospital during hospital discharge, is not good enough |
Inadequate access to patient information | Lack of adequate information exchange within the municipal healthcare service, and between the hospital and the municipal healthcare service | ||
Medication- lists which are not up-to-date leads to additional work for the receiving physician | |||
Status on resuscitation is not always clarified | |||
Physicians baser their decisions on clinical assessments, the patients general condition and results from available measurements | |||
Continuity | Lack of continuity in the patient treatment | It is difficult to know about previous hospital admissions; if the patients’ medical problem is already known and how the patients coped after ended shift at the emergency room | |
Hospital admissions can become necessary because the nursing home physician don’t have the opportunity to do follow-ups during weekends and evenings at MEBUs |