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Moving from place to place in the last year of life: A qualitative study identifying care setting transition issues and solutions in O ntario
Author(s) -
Wilson Donna M.,
Birch Stephen
Publication year - 2018
Publication title -
health and social care in the community
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.984
H-Index - 68
eISSN - 1365-2524
pISSN - 0966-0410
DOI - 10.1111/hsc.12513
Subject(s) - health care , government (linguistics) , transition (genetics) , grounded theory , qualitative research , nursing , public relations , medicine , psychology , sociology , political science , law , social science , philosophy , linguistics , biochemistry , chemistry , gene
Moving from one care setting to another is common as death nears. Many concerns exist over these end‐of‐life ( EOL ) care setting transitions, including low‐quality moves as mistakes and other mishaps can occur. Delayed or denied moves are also problematic, such as a move out of hospital for dying inpatients who want to spend their last hours or days at home. The aim of the study was to identify current issues or problems with care setting transitions during the last year of life as well as potential or actual solutions for these problems. A grounded theory analysis approach was used based on interviews with 38 key informants who represent a wide range of healthcare providers, healthcare managers, government representatives, lawyers, healthcare recipients and their family/friends across Ontario in 2016. Three interrelated themes were revealed: (a) communication complexities, (b) care planning and coordination gaps and (c) health system reform needs. Six solutions were highlighted, with these designed to prevent care setting transition issues and monitor care setting transitions for continued improvements.