Yogesh Murugan, Alpesh Parmar, Mehjabin M Hirani, Dhruvam L Babaria, Naresh C Damor
Self-Care Practices and Health-Seeking Behaviors Among Older Adults in Urban Indian Slums: A Mixed Methods Study
Cureus
patient care transitions occur communication current physician back transferring physician may important source clinical feedback learning outcomes previous reasoning processes factors associated communication well understood study clarifies often reasons current physicians communicate back transferring physicians transitioned patients 2018 38 physicians two academic teaching hospitals interviewed communication decisions regarding 618 transitioned patients researchers recorded quantitative qualitative data field notes coded communication rationales using directed content analysis descriptive statistics mixed effects logistic regression analyses identified communication patterns examined associations communication three conditions current physicians 1 changed transferring physicians clinical decisions 2 perceived transferring physicians clinical uncertainty 3 perceived transferring physicians request communication communication occurred regarding 17 transitioned patients transferring physicians initiated communication 55 cases communication occur current physicians 1 changed transferring physicians clinical decisions 119 patients 2 perceived transferring physicians uncertainty 97 patients 3 perceived transferring physicians request communication 12 patients rationales communication included case contextual structural interpersonal cultural factors perceived uncertainty request communication positively associated communication p 0001 changed clinical decision current physicians communicate infrequently transferring physicians assuming patient care responsibilities structural interpersonal barriers communication may amenable change clarity transferring physicians uncertainty desire communication back may improve clinical feedback communication