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Video-discharge-conferences between patient, relatives, hospital and municipality create greater security for the patient, relatives and improve the dialogue

Authors:

Bettina Poulsen ,

Medical Department, Ouh, Svendborg Hospital, Denmark, DK
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Anne Dichmann Sorknæs

Medical Department, Ouh, Svendborg Hospital, Denmark, DK
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Abstract

Introduction: Studies have shown that the use of cross-sectoral video- discharge-conference between municipalities and hospitals after patient's discharge can prevent readmissions.

A collaboration between municipalities and The Medical Department M/FAM, OUH, Svendborg Hospital, aimed to design, test and evaluate video- discharge-conferences between patient, relatives, home care and Medical department. The expectation was that good video- discharge-conferences with a joint planning of the patient's discharge could create greater security for the patient/relatives, improve the dialogue, reduce the need for telephone communication, and ensure realistic completion dates and thus prevent discharge-cancellation and readmissions. The project was funded by OUH's ""Pool for Outbound Functions"".

Method: The study was a feasibility study. Citizens with medical condition/conditions admitted to the Medical department, receiving homecare services or having a new need for municipal services after discharge could be included.

With need for extended coordination/services and/or the patient/relatives expressed insecurity at the patient's discharge, the department contacted the municipality for a video-discharge-conference.

Patient and/or relatives attended at the department. If relatives lived far away, they could participate virtually in the video-discharge-conference.

Video-discharge-conference were handled by nurses from the Medical department and the homecare services of the co-operative municipalities.

Both the municipality and the hospital could initiate the video-discharge-conference.

Findings: A patient was unrealistic about his situation. At video-discharge-conference, the patient agreed to temporary live in nursing home. The family was very relieved and satisfied.

An elderly man believed that his wife could help him and that homecare was unnecessary. At video-discharge-conference, the wife made the spouse aware that she could no longer cope. The husband accepted help from the municipality. The wife was relieved.

A severely ill woman with many hospitalizations stopped after each hospitalization from taking food and medication. She wanted a sheltered house due to fatigue, loneliness and depression. At video-discharge-conference, the municipality acknowledged that the patient needed a sheltered house.

A mentally ill patient did not want help from the municipality. The boyfriend was angry that the hospital didn't get the patient help. At video-discharge-conference it was clarified how the municipality could best help the patient and to the satisfaction of the boyfriend.

The technique did not work optimally at first. Video-discharge-conference is resource-intensive in a busy everyday life.

Conclusion: Patient's need for help becomes visible for all. The patient and families put into words ideas and concerns in relation to discharge. When patient and caregivers help planning discharge, patient/caregiver involvement increases and allows for Shared-decision-making. Video-discharge-conferences provide security for patient/relatives.

Video-discharge-conferences improved cooperation between hospitals and municipalities.

Physical framework and technique must work

Implication: Based on the positive results and because of access restrictions to the hospital for relatives due to increasing Corona infection early 2020, the video-discharge-conference project was stopped and video-discharge-conference are now a permanent service.

The improved cooperation between patient, relatives, hospital and municipality is expected to prevent readmissions.

How to Cite: Poulsen B, Dichmann Sorknæs A. Video-discharge-conferences between patient, relatives, hospital and municipality create greater security for the patient, relatives and improve the dialogue. International Journal of Integrated Care. 2022;22(S3):463. DOI: http://doi.org/10.5334/ijic.ICIC22384
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Published on 04 Nov 2022.

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