Quality of care transitions from hospital to home for COVID-19 patients discharged from Brazilian university hospitals

Author:

Wachholz Laísa FischerORCID,Cechinel-Peiter Caroline,Costa Maria Fernanda Baeta Neves Alonso daORCID,Acosta Aline Marques,Erdmann Alacoque Lorenzini,Santos José Luis Guedes dos,Backman Chantal,Lanzoni Gabriela Marcellino de Melo

Abstract

PurposeTo analyze the quality of transitional care for patients with COVID-19 at discharge from Brazilian university hospitals.Design/methodology/approachA cross-sectional descriptive study was carried out in five Brazilian university hospitals between April and December 2021. The sample consisted of 527 participants. Data collection consisted of a sociodemographic questionnaire and the Care Transitions Measure (CTM-15), a care transition assessment instrument, which was translated and validated in Portuguese.FindingsMost participants were patients (n = 369; 70.0%), with primary school completion (n = 218; 43.4%), multiracial (n = 218; 43.5%) and with an income of up to two minimum wages (n = 182; 42.8%). Dimension 1 – management preparation – obtained the highest score (71.2 points, SD = 16.5), while Dimension 4 – care plan – obtained the lowest score (62.2 points, SD = 23.4). Among the participating hospitals, there was a difference in the overall mean with results ranging from 67.0 to 72.9 points.Originality/valueA satisfactory quality of care transition was found, considering the context of a pandemic. The main weaknesses in the care transitions were related to the care planning after hospital discharge.

Publisher

Emerald

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