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Table 2 Summary of important component of results

From: Barriers to effective discharge planning: a qualitative study investigating the perspectives of frontline healthcare professionals

Current Practice
No standardized policy/protocol for discharge process
No standardized tool for facilitating the discharge process
Piece-meal approach in individual hospital
Discharge program targeting high risk readmission which is based on clinical judgment and varies across hospitals
Disease-specific discharge program for selected diseases
Barriers to Discharge Planning
System Factor
Lack of guideline or polices for the standardized discharge process/care pathway
Piece-meal program as pilot and issue of inflexibility of program
Pressure on bed availability
Poor medication system in hospital
Poor communication among healthcare disciplines
Issue of manpower shortage and management
Poor regulation of care quality in old age home
Professional Factor
Unclear role of each disciplines
Nurses not empowered to initiate discharge planning
Unclear or incomplete chart documentation
Low awareness on patient's social needs
Patient Factor
Lack of knowledge of medication/treatment
Mis-concept of hospital discharge
Social Factor
Issue of services availability - waiting time, affordability, equipment loan
Issue of un-match needs of patients - transportation, time gap of service availability and hospital discharge
Poor communication/coordination between hospital and community service provision
Suggestion on Importance Components for Effective Discharge Planning
Standard screening tools to identify high risk readmission case with protocol approach and policy-driven
Discharge planning with multidisciplinary approach
Clear role of each multidisciplinary identified in the discharge planning
Designed nurse/physician for discharge planning as contact point
Clinical pharmacist for medication reconsideration
Trained volunteer for identification/facilitation on patient's psychosocial needs
Effective manpower management
Patient education: medication/treatment, concept of discharge process
Coordination between Hospital Authority/hospitals and community service provision
Enhance training/education on patients' psychosocial needs for physicians
Home carer support program to facilitate transition period from hospital discharge to home