Opportunities - Characterizing the management of premature hospital discharges from a patient, provider, and health systems perspective

Characterizing the management of premature hospital discharges from a patient, provider, and health systems perspective

University of Calgary

Background

A discharge against medical advice is an event when a patient decides to leave the hospital before the recommendation of the medical team. Patients may leave the hospital because of dissatisfaction with their care team, concerns about the medical environment, or because of personal financial and family obligations. Due to inadequate treatment of their illness, such patients are at increased risk of medical complications leading to re-admissions to the hospital and even death. Given that discharges against medical advice are such high-risk events for patients, it is important to understand what current practices exist for patients, it is important to understand what current practices exist to either prevent this occurance or reduce the adverse consequences of discharge against medical advice. It is also important to understand how these current practices impact patient experience after discharge.

The objective of our study is to describe current practices that exist within hospitals and clinicians to manage a discharge against medical advice, and to understand how those practices impact patient experience. This will help us identify opportunities for improvement in the future.


Roles and Responsibilities

This opportunity is looking for a patient partner who may have had prior experience with an against medical advice discharge from hospital to join our project team as a collaborator on a grant application for this study. The role of the patient partner includes the following:

  1. To provide advice on the strategic direction of the project, particularly with regards to patient engagement.
  2. To work collaboratively with the research team to design appropriate qualitative studies to understand patient perceptions, to help with patient recruitment strategies, and participate in data analysis.

For the grant application, we will require a CV of the applicant.

 

Time Commitment

If funded, this project will begin July 2021, and the patient partner will be expected to attend full team meetings that will occur every month for one hour for a period of two years.

 

Reimbursement/Compensation

If funded, this position will be financially compensated by the grant budget.

 

For more information please connect with

Anshula Ambasta

aambasta@ucalgary.ca or  403.618.4586