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Data from: Discharge communication for chronic disease patients in three hospitals in India

Citation

Humphries, Claire et al. (2020), Data from: Discharge communication for chronic disease patients in three hospitals in India, Dryad, Dataset, https://doi.org/10.5061/dryad.qnk98sfcm

Abstract

OBJECTIVES

Poor discharge communication is associated with negative health outcomes in high-income countries. However, quality of discharge communication has received little attention in India and many other low and middle-income countries. Primary Objective To investigate verbal and documented discharge communication for chronic non-communicable disease (NCD) patients. Secondary objective To explore the relationship between quality of discharge communication and health outcomes.

METHODS:

Design Prospective study.

Setting: Three public hospitals in Himachal Pradesh and Kerala states, India.

Participants: 546 chronic NCD (chronic respiratory disease, cardiovascular disease or diabetes) patients. Piloted questionnaires were completed at admission, discharge and Five and eighteen-week follow-up covering health status, health-seeking behaviour and healthcare information exchange practices. Logistic regression was used to explore the relationship between quality of discharge communication and health outcomes.

Outcome Measures:

Primary: Patient recall and experiences of verbal and documented discharge communication.

Secondary: Death, hospital readmission and self-reported deterioration of NCD/s.

RESULTS

All patients received discharge notes, which were predominantly on minimally structured sheets of paper (71%); 31% of notes contained all of the following information required for facilitating continuity of care: diagnosis, medication information, lifestyle advice, and follow-up instructions. Patient reports indicated notable variations in verbal information provided during discharge consultations; 50% received ongoing treatment/management information and 23% received lifestyle advice. Within 18 weeks of follow-up, 25 (5%) patients had died, 69 (13%) had been readmitted and 62 (11%) reported that their chronic NCD/s had deteriorated. Significant associations were found between low-quality documented discharge communication and death (AOR=3.00; 95% CI 1.27,7.06) and low-quality verbal discharge communication and self-reported deterioration of chronic NCD/s (AOR=0.46; 95% CI 0.25,0.83) within 18-weeks of follow-up.

CONCLUSIONS

Sub-optimal discharge practices may be compromising the continuity and safety of chronic NCD patient care. Structured protocols, documents and training are required to improve discharge communication, healthcare integration and overall NCD management.

Usage Notes

Quantitative data from research investigating discharge communication for chronic, non-communicable disease patients visiting government hospitals in Himachal Pradesh and Kerala states, India. The data file contains prospective quantitative survey data from inpatients with an associated READ ME document.

Funding

Medical Research Council (GB), Award: MR/M00287X/1

Wellcome Trust, Award: MR/M00287X/1

Department for International Development (GB), Award: MR/M00287X/1

Economic and Social Research Council (GB), Award: MR/M00287X/1