Clinicians’ perceptions of decision making regarding discharge from public hospitals to in-patient rehabilitation following trauma

Kimmel, Lara A., Holland, Anne E., Lannin, Natasha, Edwards, Elton R., Page, Richard S., Bucknill, Andrew, Hau, Raphael and Gabbe, Belinda J. 2017, Clinicians’ perceptions of decision making regarding discharge from public hospitals to in-patient rehabilitation following trauma, Australian health review, vol. 41, no. 2, pp. 192-200, doi: 10.1071/AH16031.

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Title Clinicians’ perceptions of decision making regarding discharge from public hospitals to in-patient rehabilitation following trauma
Author(s) Kimmel, Lara A.
Holland, Anne E.
Lannin, Natasha
Edwards, Elton R.
Page, Richard S.ORCID iD for Page, Richard S.
Bucknill, Andrew
Hau, Raphael
Gabbe, Belinda J.
Journal name Australian health review
Volume number 41
Issue number 2
Start page 192
End page 200
Total pages 9
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2017
ISSN 0156-5788
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Summary Objective: The aim of the present study was to investigate the perceptions of consultant surgeons, allied health clinicians and rehabilitation consultants regarding discharge destination decision making from the acute hospital following trauma.Methods: A qualitative study was performed using individual in-depth interviews of clinicians in Victoria (Australia) between April 2013 and September 2014. Thematic analysis was used to derive important themes. Case studies provided quantitative information to enhance the information gained via interviews.Results: Thirteen rehabilitation consultants, eight consultant surgeons and 13 allied health clinicians were interviewed. Key themes that emerged included the importance of financial considerations as drivers of decision making and the perceived lack of involvement of medical staff in decisions regarding discharge destination following trauma. Other themes included the lack of consistency of factors thought to be important drivers of discharge and the difficulty in acting on trauma patients’ requests in terms of discharge destination. Importantly, as the complexity of the patient increases in terms of acquired brain injury, the options for rehabilitation become scarcer.Conclusions: The information gained in the present study highlights the large variation in discharge practises between and within clinical groups. Further consultation with stakeholders involved in the care of trauma patients, as well as government bodies involved in hospital funding, is needed to derive a more consistent approach to discharge destination decision making.
Language eng
DOI 10.1071/AH16031
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1605 Policy And Administration
1110 Nursing
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, AHHA
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