Journal of General Internal Medicine, 28(3), 436-443. doi:10.1007/s11606-012-2234-y
Teams of 3-4 members made site visits between 2008 and 2009 where they conducted interviews. They came from diverse backgrounds. Before the interviews, the researchers went through training on how to carry out the interviews. The interviews followed a standard interview guide. The researchers audio-recorded the interviews and later transcribed the audio recordings. After the interviews, there were debrief sessions involving a psychologist.
Data analysis was in two stages. The first stage employed the constant comparative method, which involved coding teams of six members. Each member reviewed transcripts independently and then they later compared their results before coming to a consensus. The second stage involved teams of three members. They used a focused analysis to reanalyze the data. There were ten main codes and eighteen sub-codes. Through the constant comparative method, the researchers analyzed thematic differences between hospitals depending on their performance. They used the ATLAS.TI Scientific Software, version 6.2 to analyze the codes they developed.
The study was an exploratory type and therefore it was not possible to generalize the findings. Lower-performing hospitals also lack the ability to organize for PCP follow-up. There was also a risk that the participants may have made misrepresentations during the interviews.
The authors concluded that the findings of the study conform to their previous theories about the improvement of the care for patients with AMI. Efficient communication and coordination across different fields is the key to the achievement of high quality discharge. The survival of patients after AMI may be dependent on specific discharge planning processes.
The results of the research would be of great benefit especially in the provision of comprehensive discharge care. The research identifies ...
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