socioeconomically and ethnically deprived patients at the postnatal and geriatric ward Research group Integrated Care in Metropolitan area INCAM Brussels ID: 276681
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Discharge management: focus on socio-economically and ethnically deprived patients at the postnatal and geriatric ward
Research
group
Integrated
Care in
Metropolitan
area (INCAM Brussels)Slide2
Definition of DMThe whole of activities carried out by the care providers to assure a
good transfer from the intramural to the extramural setting for the patient DM=process in the care trajectory with crucial elements: (1)Evaluation patient needs (before ward admission)(2) Transmural communication(3) Multidisciplinary collaboration(patient education included)(4) Clear written discharge planning in a comprehensive languageSlide3
MOST IMPORTANT RESULTS (1)In addition to information & education, the patient needs practical & emotional support.A clear distribution of the caregivers’ roles & tasks at the discharge provides a higher
patient’s satisfaction.Communication & collaboration between the different caregivers (primary as well as secondary health care) who together give form to the discharge, are of decisive importance BUT no discipline claims the coordination of the discharge + no clear coordination role of managing the dischargeSlide4
MOST IMPORTANT RESULTS (2)Little literature about DM in specific target groupsDifferentiation for
ethnical and socio-economical groups is very scarce, AND less informationA lot of literature about ED at the maternity wardA lot of gaps are remaining to be able to pursue an effective discharge policyMore attention should be given to discharge, specifically to the preparation and communication, in particular for specific patient groups. Slide5
Discharge planning case managerThe development of transmural and
interdisciplinary care paths and protocols More research needed in this fieldNurses and midwives must be “culture sensitive”Slide6
ContactFlorence.dhaenens@ehb.be