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Evaluating step-down, intermediate care programme in Buckinghamshire, UK: a mixed methods study.

Fani Liapi1, Angel Marie Chater2,3, Tina Kenny4

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Summary
This summary is machine-generated.

Patients reported positive experiences in intermediate care (IC) units, valuing rehabilitation and relationships with staff. However, they often lacked information about their transfer and discharge plans, highlighting areas for service improvement.

Keywords:
Intermediate carePatient experiencePerson-centred careRehabilitationStep-down care

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Area of Science:

  • Gerontology
  • Health Services Research
  • Patient Experience

Background:

  • Intermediate care (IC) services facilitate seamless transitions between hospital and community settings.
  • These services are crucial for ensuring continuity of care and supporting patient recovery post-hospitalization.

Purpose of the Study:

  • To explore patient experiences within a step-down intermediate care unit in Buckinghamshire, UK.
  • To identify key themes influencing patient satisfaction and outcomes in intermediate care.

Main Methods:

  • A mixed-methods approach combining quantitative questionnaires (n=28) and qualitative semi-structured interviews (n=7).
  • Thematic analysis was applied to interview transcripts to identify recurring patient perspectives.

Main Results:

  • Five core themes emerged: lack of information, positive staff relationships, perceived quality of care, rehabilitation benefits, and care plan discussions.
  • Patients reported positive overall experiences, emphasizing the importance of rehabilitation for mobility and independence.

Conclusions:

  • Patients valued the supportive relationships and rehabilitation provided in intermediate care.
  • A significant finding was the patients' lack of awareness regarding their transfer to IC and their discharge care packages.
  • These insights are vital for developing more patient-centered intermediate care services.