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Communication between continuing care organizations

M A Anderson1, L B Helms

  • 1University of Illinois at Chicago, College of Nursing, Quad-Cities Regional Program, Rock Island 61201.

Research in Nursing & Health
|February 1, 1995
PubMed
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Healthcare communication between hospitals and home health agencies is inadequate for discharge planning. Standardized referral forms are recommended to improve patient care continuity.

Area of Science:

  • Health Services Research
  • Healthcare Communication
  • Continuity of Care

Background:

  • Effective communication between healthcare organizations is crucial for seamless discharge planning and continuity of care.
  • Previous reports indicate that inter-organizational communication in healthcare is often insufficient.
  • Decentralization of healthcare responsibilities necessitates improved provider communication.

Purpose of the Study:

  • To examine the content of communication between hospitals and home health agencies.
  • To compare the actual referral information sent with the information desired by practitioners.
  • To identify deficiencies in communication content and suggest improvements.

Main Methods:

  • Analysis of 300 closed home care records.

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  • Application of a classic communication model to assess referral content.
  • Comparison of received data with practitioner-identified desirable data.

    • Main Results:

    • Hospitals provided only about half of the recommended referral information.
    • Referrals predominantly contained background and medical data, with minimal nursing or psychosocial information.
    • Over one-third of referrals lacked a standardized hospital referral form, and significant data discrepancies were noted.

    Conclusions:

    • Current communication practices between hospitals and home health agencies are insufficient for optimal discharge planning.
    • A significant gap exists between the data practitioners need and the data they receive.
    • Implementing standardized, written referral forms could enhance communication clarity and completeness, improving continuity of care.