Often, there are gaps in the discharge process when a patient is transitioning from the hospital to home.
The patient sometimes serves as the only bridge between the hospital and home, while they are still recovering. This puts patients at risk during the transition of care. It can also cause extra stress for the patient and their caregiver.
Transitions of care without the PArTNER model:
When patients have limited resources, the gap can be even bigger.
This problem was felt by patients + caregivers at an Illinois Minority-Serving Institution (MSI). Researchers talked to patients and caregivers from a MSI in Illinois about their hospital experiences. They said they wanted more support while in the hospital and once they were back at home. They also said they felt anxious about taking care of themselves after leaving the hospital.
“ When I was diagnosed with CHF and COPD, I didn’t get no good talking to, you know, this is what to do now, this is what you need to change and stuff. You know, they just tell us, diagnose us with stuff. I be getting to think I’m a guinea pig.”