The Facilitators to Care Transition from Hospital to Home After Stroke: A Qualitative Study
Abstract
Background: Ineffective hospital‑to‑home care transition (HHCT) can lead to the early rehospitalization of patients with stroke (PWS). Therefore, effective HHCT management is essential to maintain patient safety and reduce rehospitalization. This study was undertaken to examine the factors facilitating HHCT after stroke from the perspectives of all stakeholders involved in the process. Materials and Methods: This qualitative study was undertaken from 2023 to 2024 in Tehran, Iran, using conventional content analysis. Data were gathered via semistructured interviews with 23 healthcare clients, professionals, and policy‑makers. The data were analyzed using Zhang and Wildemuth’s 8‑step conventional content analysis method. Results: A total of 138 codes were generated and classified into eight subcategories and three categories. The categories were improvement of communication and education, maintenance of care continuity, and improvement of infrastructures. Conclusions: Different interrelated factors facilitate the process of HHCT. These facilitators include effective communication and education, care continuity, patient‑centered care, efficient information systems, quality community‑based services, strong support, and clear HHCT guidelines. These findings can be used in designing strategies to improve care quality, reduce rehospitalization, and enhance safe patient management after discharge.
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