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PubMed · 10557724

Is your discharge planning process really effective?

Abstract

To evaluate the effectiveness of its discharge planning process, Fairview-University Medical Center in Minneapolis distributes a survey to 200 patients each week, asking them whether they had a better understanding of their illness at discharge than when they entered the hospital, whether hospital staff prepared the patient for proper home care, and whether the patient felt he or she was sent home too quickly. The hospital's Patient Learning Center also randomly calls 10 to 15 patients each month to find out how they're managing their care after discharge. To ensure that patients leave the hospital with the skills they need to succeed during the next phase of their care, experts recommend testing patients before they leave by challenging them to perform the skills they will need to use. Practicing in the hospital gives case managers the chance to evaluate the patient's level of understanding and problem-solving ability.

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1999. Is your discharge planning process really effective?. https://pubmed.ncbi.nlm.nih.gov/10557724/

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The long-term effect of multidisciplinary back training: a systematic review.

STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the long-term effect of multidisciplinary back training on the work participation of patients with nonspecific chronic low back pain. SUMMARY OF BACKGROUND DATA: Chronic low back pain is influenced by multiple factors. Multidisciplinary back training represents one of the options to take this multiplicity into account. So far, only evidence of the short-term effectiveness of this approach in terms of work participation is available. METHODS: Electronic databases were searched and the references of various articles were screened for relevant publications. Ten studies met the inclusion criteria. All included studies were evaluated for their methodologic quality. RESULTS: Five of the studies had a low methodologic quality. All high-quality studies found a positive effect on at least one of the 4 outcome measures used. Based on our criteria, effectiveness was found for the outcome measures of work participation and quality of life. No effectiveness was found for experienced pain and functional status. The intensity of the intervention seems to have no substantial influence on the effectiveness of the intervention. CONCLUSION: In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain.

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