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International Journal for Quality in Health Care 8:167-174 (1996)
© 1996 International Society for Quality in Health Care

other

The Quality of Hospital Discharge: a Survey of Discharge Arrangements for the Over-65s

KAREN FAIRHURST*, MARION BLAIR{dagger}, JANE CUTTING{ddagger}, MOIRA FEATHERSTONE§, BERNIE HAYES, MICK HOWARTHboxV, DENISE ROSE** and IAN STANLEY{dagger}{dagger}

*Lecturer, Department of Primary Care, University of Liverpool UK
{dagger}Service Manager, Directorate for Older People, West Cheshire NHS Trust UK
{ddagger}Quality Manager, Chester and Halton Community NHS Trust UK
§Director of Nursing, Countess of Chester Hospital NHS Trust UK
Project Facilitator, Chester and Halton NHS Community Trust UK
boxVService Manager for Older People, Chester Social Services UK
**Divisional Manager, Cheshire Family Health Services Authority UK
{dagger}{dagger}Chairman, Chester and Halton Community NHS Trust UK

A three-phase study comprising semistructured interviews with patients and/or their carers, follow-up postal questionnaires, and a postal survey of the views of professionals involved in the discharge of participating patients was conducted to assess the quality of arrangements for patients over 65 years of age, discharged from hospitals in Chester and Ellesmere Port in the United Kingdom. A large majority of patients (80%) felt they had been adequately consulted about arrangements for their discharge, but less than 2% of health and social care professionals considered all discharges satisfactory. This apparent disparity between patient and professional views may be explained by low levels of expectation among patients in this aspect of their care and their reluctance to express views which they fear may compromise future care. Continuing difficulties with interprofessional communication and liaison suggest that further attention to discharge management is required if improvements are to be effected. Copyright © 1996 Elsevier Science Ltd.

Keywords: Hospital discharge, quality

Karen Fairhurst, Clinical Lecturer in General Practice, Department of Primary Care, Whelan Building, University of Liverpool, PO Box 147, Liverpool L69 3BX, UK. Tel. 0151 794 5597; Fax 0151 794 5604.

Received for publication October 30, 1995. Accepted for publication November 15, 1995.


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