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| Author | Brigitte Vassallo |
| Abstract | Older people are being discharged from hospital to the community with higher levels of dependency. Ideally health services are designed to meet the needs and demands of defined populations such as the elderly, with discharge planning being an essential component of service delivery. It has substantial implications for the use of health and social care resources. Quality practices in health care result from structured reflection on what was done, what was achieved and what could be done better, then putting constructive actions in place to change practices. This study was carried out to assess the extent to which patients' and carers' have been involved and have been informed about the discharge process and to assess their level of satisfaction with the discharge planning process at Zammit Clapp Hospital, an acute and rehabilitation hospital for the elderly in Malta. The study consisted of a convenience sample of 50 patients and 50 carers. A mixed research design consisting of quantitative and qualitative data was used. Interviews were carried out by the researcher one- week post discharge from Zammit Clapp Hospital. The main findings suggested that despite the fact that an adequate amount of information was given to patients and carers some areas in information exchange and education sessions merit improvement. Post discharge needs were assessed and discussed with patients' and carers' while at ZCH. The involvement and expectations of carers in the discharge planning process and outcome differed from that of patients. Overall patients were satisfied with the discharge planning practices and services at ZCH. In retrospect carers said that they were well prepared for caring for the patient while in hospital. Limitations and recommendations that arise from the study are discussed. |
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| Key words | Thesis, Health Services Management, Discharge Planning, Zammit Clapp Hospital |