Influence of interactional structure on patient's participation during interprofessional discharge planning meetings in rehabilitation centers.

Influence of interactional structure on patient's participation during interprofessional discharge planning meetings in rehabilitation centers. J Interprof Care. 2018 Oct 30;:1-10 Authors: Schoeb V, Staffoni L, Keel S Abstract Interprofessional practice has become increasingly important. In addition, patients are expected to participate more actively in health-care decisions. While comprehensive discharge planning has been shown to be effective, it is unclear how interactional structure influences patients' participation during discharge planning meetings. The aims of this qualitative study were to examine the interactional structure of interprofessional meetings in two rehabilitation clinics and to identify patients' types of communicative involvement (patient participation) during discharge planning meetings. Using an ethnomethodological approach and Conversation Analysis, 121 interprofessional meetings were video-recorded (19 hours of recordings). Twenty-five patients (30- 87 years) with neurological or musculoskeletal disorders and their teams were included. The findings revealed two types of meetings aimed at either (a) exchanging information with team members and patient ("information exchange meeting") or (b) negotiating care plans with patients and the team. "Negotiation meetings" were often led by allied health professionals or nurses and were characterized by active patient participation. Those meetings offered patients a...
Source: Journal of Interprofessional Care - Category: Health Management Tags: J Interprof Care Source Type: research