Yan Li, Yunling Lv, Ramil D Dorol, Junxiao Wu, Anna Ma, Qian Liu, Jin Zhang
Integrative virtual nursing simulation in teaching cardiopulmonary resuscitation: A blended learning approach
Australasian emergency care
social prescription seen public health intervention tool potential mitigate social determinants health one side social prescription yet well developed france social workers usually attend social needs historically deep divide health social sectors side discharge coordination gaining attention france critical tool improve quality care assessed indirectly using unplanned rehospitalization rates study aims combine social prescription discharge coordination assess need social prescription effect unplanned rehospitalization rates conducted quasiexperimental study two departments medicine french university hospital disadvantaged suburb paris 2 years october 2019october 2021 discharge coordinator screened patients social prescribing needs provided services spot referred patient appropriate service needed primary outcome description services delivered discharge coordinator process well characteristics patients terms social needs secondary outcome comparison unplanned rehospitalization rates data chaining total 223 patients included intervention arm recruitment disrupted covid19 pandemic twothirds patients n154 691 needed help understanding discharge information slightly less half patients n98 439 seen discharge coordinator needed social prescribing encompassing language housing health literacy financial issues social prescribing covered large range services categorized finding general practitioner private sector nurse including languagematching referral social worker referral nongovernmental organization group activities support transportation issues support healthrelated administrative procedures support additional appointments nonmedical clinicians supports delivered highly personalized way ethnic data collection legally permitted 81 n182 patients french mother tongue data chaining rehospitalization rates compared 203 patients received intervention n5 31 versus 2095 patients n51 26 statistical difference first study revealed breadth patients unmet social needs university hospital caters area immigrant population high study also revealed complexity discharge coordinators work provided highly personalized support managed gain trust hospital discharge could used france opportunity disadvantaged settings eventually indicators rehospitalization rate devised evaluate effect social prescribing discharge coordination