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Patient Experiences Regarding Admission, Discharge and Follow-up within the Scope of a Hospital Treatment

DOI: 10.3238/zfa.2020.0069-0076

german translation / full article

Cornelia Straßner, Johanna Forstner, Joachim Szecsenyi, Michel Wensing, Petra Kaufmann-Kolle, Wolfram Günther

Keywords: admission discharge family physician hospital management

BackgroundSince october 2017 hospitals in Germany are obliged to implement several interventions to improve their discharge management (framework contract “Rahmenvertrag Entlassmanagement”). At about the same time the care model VESPEERA was initiated to optimize the admission management and follow-up care after discharge by family physicians (FPs). The aim of this study was to measure patients’ satisfaction with intersectoral care in an early phase of implementation of these two innovations. MethodsBetween May 2018 and May 2019 an anonymised written survey was conducted. Participants were patients aged 18 years or older who had been discharged from hospital during the previous 3 months and participating in a FP-centred care model of the large German health insurance company AOK Baden-Württemberg. Patients were recruited in the federal state of Baden-Württemberg in family practices participating and not participating in the new care model VESPEERA. ResultsIn total, 367 completed questionnaires were analysed. A large majority of interviewees felt that they were well prepared for their planned hospital stay. However, 35 % (n = 127) of the respondents stated that questions which had been important to them had not been fully clarified during the discharge conversation. In 23 % (n = 84) of the cases signs of a deterioration were not discussed and 17 % (n = 62) of the patients did not receive any instructions on how they could contribute to their recovery. Of the patients with pain medication 36 % (n = 84) stated that adequate pain therapy was not fully guaranteed after discharge. Of the patients with medication changes 21 % (n = 59) received no or only incomprehensible information about their medication. ConclusionsPotential for improvement was identified mainly in the areas of discharge conversation, active patient involvement and medication management.Keywordsadmission; discharge; management; hospital; family physician


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