Contextual Factors Affecting Continuity of Follow-Up Care After Hospital Discharge for Patients with Chronic Diseases in Sudan: A Qualitative Study with Causal Loop Diagram Insights
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View abstract on PubMed
Summary
This summary is machine-generated.Continuity of follow-up care is hindered by adherence issues, poor patient education, and inefficient referrals. Addressing these requires improved primary healthcare and digital tools for better patient outcomes.
Area Of Science
- Health Services Research
- Public Health
- Systems Science
Background
- Continuity of care post-hospital discharge is crucial for patient recovery and preventing readmissions.
- Understanding the complex factors and system dynamics influencing follow-up care is essential for effective interventions.
Purpose Of The Study
- To identify factors influencing the continuity of follow-up care after hospital discharge.
- To map the interactions of these factors using a causal loop diagram to understand dynamic relationships.
Main Methods
- Semi-structured interviews with physicians and healthcare stakeholders in Khartoum State, Sudan.
- Thematic analysis to identify influencing factors.
- Purposive text analysis to develop a causal loop diagram.
Main Results
- Identified 39 factors affecting follow-up care continuity, categorized into 5 challenges: adherence, patient education, referral system efficiency, primary healthcare accessibility, and quality improvement.
- Discovered 2 balancing and 5 reinforcing feedback loops influencing post-discharge care.
- Highlighted how reinforcing loops (workload, resource depletion, referral inefficiency, quality improvement stagnation) impede solutions like quality improvement efforts.
Conclusions
- Enhancing pre-discharge patient education is vital.
- Multisectoral approaches are needed to improve primary healthcare, optimize referrals (potentially with digital tools), and address staff turnover to strengthen follow-up care continuity.
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