Cited by 27Hospital Admissions and OutcomesElectronic Health Records SystemsHeart Failure Treatment and Management

The DOI matches its Crossref record; 33 of the 34 references it cites were found in a registry or an index.

Technology Solutions to Support Care Continuity in Home Care: A Focus Group Study

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Abstract

Background: Elevated hospital readmission rates from home care are an indicator of poor care quality, and rates are particularly high for patients with heart failure. Readmissions may be avoided by optimizing continuity of care. Purpose: To explore perceptions among home care clinicians of the barriers they face and the information they need to improve care continuity for patients with heart failure. Methods: Focus groups were conducted with teams of home care clinicians at a large certified home healthcare agency in the Northeastern United states. Results: In total, there were 61 participants across 6 focus groups. Three overarching themes emerged: continuity of care and communication on care transitions, maintaining continuity of care during a home care episode (with subthemes tracking signs and symptoms and patient teaching), and health information technology (HIT) characteristics to support communication and care continuity. Conclusions: Our study highlights areas of improvement for HIT solutions that could support care delivery for patients with heart failure in a home care setting. Implications: Home care agencies planning to introduce technology can use these findings to assess if and how potential systems can support nurses to provide continuity of care across healthcare organizations and home care visits.

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Metadata

Authors
Dowding, D. W., Russell, D., Onorato, N., & Merrill, J. A.
Affiliations
Agency for Healthcare Research and Quality (US)
Venue
Journal for Healthcare Quality
Published
2018-07
Volume
40
Issue
4
Pages
236-246
ISSN
  • 1062-2551 (ISSN-L)
  • 1945-1474
OpenAlex
W2753880573
Cited by
27
References
34
Citations by year
2025: 1 · 2024: 4 · 2023: 8 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4
FWCI
2.78
Type
journal article
Language
en
Licence
other-oa
Locations
  • Journal for Healthcare Quality (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, other-oa)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
Agency for Healthcare Research and Quality (R21 HS023855)
Topics
  • Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Keywords
continuity of care, home care, heart failure, hospital readmission, health information technology, care transitions, clinician perceptions, home care nurses, patient education, communication between care providers
MeSH terms
Adult, Aged, Continuity of Patient Care, Delivery of Health Care, Female, Home Care Services, Humans, Male, Middle Aged, Patient Transfer, Quality of Health Care, Focus Groups, Guidelines as Topic, Inventions

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