Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study

Background and purpose: Comprehensive discharge program refers to providing education, follow-up and continuity of care. This issue is one of the requirements for the effectiveness of treatment in patients with mental health diseases. This study aimed at investigating post discharge follow-up challe...

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Main Authors: Marzieh Javadi, Mohammad Mahdi Behzadnezhad, Mojtaba Alizade, Nasrin Sharbafchizade, Maryam Yaghoubi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2022-07-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-18018-en.html
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author Marzieh Javadi
Mohammad Mahdi Behzadnezhad
Mojtaba Alizade
Nasrin Sharbafchizade
Maryam Yaghoubi
author_facet Marzieh Javadi
Mohammad Mahdi Behzadnezhad
Mojtaba Alizade
Nasrin Sharbafchizade
Maryam Yaghoubi
author_sort Marzieh Javadi
collection DOAJ
description Background and purpose: Comprehensive discharge program refers to providing education, follow-up and continuity of care. This issue is one of the requirements for the effectiveness of treatment in patients with mental health diseases. This study aimed at investigating post discharge follow-up challenges in psychiatric patients in Isfahan Farabi Hospital, 2021. Materials and methods: A qualitative study with Conventional Content Analysis approach was conducted by interviewing 13 nurses, physicians, managers, and hospital discharge staff who were purposefully selected. Sampling was performed until reaching data saturation. Data were analyzed using MAXQDA V10. Results: Findings were organized into 32 Semantic codes and three main categories that each included two subcategories: I. Patient and Disease Challenges (nature of disease and patient/family condition), II. Hospital and Health System Challenges (hospital policy and procedures and poor intersectoral communication), and III. Socio-Economic Challenges (lack of social support and financial problems). Conclusion: Effective follow-up of psychiatric patients is faced with some problems such as insufficient insurance coverage, lack of awareness of families, and lack of a thorough follow-up process. Meanwhile, poor social services and supporting institutions contribute to aggravation of disease and hospital readmission.
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spelling doaj.art-356b7ed465444381a89d65c0a328c8462023-02-28T08:48:56ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792022-07-0132210100107Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative StudyMarzieh Javadi0Mohammad Mahdi Behzadnezhad1Mojtaba Alizade2Nasrin Sharbafchizade3Maryam Yaghoubi4 PhD in Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Medical Student, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Farabi Hospital, Isfahan University of Medical Sciences, Isfahan, Iran . PhD Candidate in Organizational Behavior Management, Isfahan Islamic Azad University (Khorasgan), Isfahan, Iran Associate Professor, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Associate Professor, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran Background and purpose: Comprehensive discharge program refers to providing education, follow-up and continuity of care. This issue is one of the requirements for the effectiveness of treatment in patients with mental health diseases. This study aimed at investigating post discharge follow-up challenges in psychiatric patients in Isfahan Farabi Hospital, 2021. Materials and methods: A qualitative study with Conventional Content Analysis approach was conducted by interviewing 13 nurses, physicians, managers, and hospital discharge staff who were purposefully selected. Sampling was performed until reaching data saturation. Data were analyzed using MAXQDA V10. Results: Findings were organized into 32 Semantic codes and three main categories that each included two subcategories: I. Patient and Disease Challenges (nature of disease and patient/family condition), II. Hospital and Health System Challenges (hospital policy and procedures and poor intersectoral communication), and III. Socio-Economic Challenges (lack of social support and financial problems). Conclusion: Effective follow-up of psychiatric patients is faced with some problems such as insufficient insurance coverage, lack of awareness of families, and lack of a thorough follow-up process. Meanwhile, poor social services and supporting institutions contribute to aggravation of disease and hospital readmission.http://jmums.mazums.ac.ir/article-1-18018-en.htmlpatientspatient dischargecontinuity of patient carementally ill person
spellingShingle Marzieh Javadi
Mohammad Mahdi Behzadnezhad
Mojtaba Alizade
Nasrin Sharbafchizade
Maryam Yaghoubi
Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study
Journal of Mazandaran University of Medical Sciences
patients
patient discharge
continuity of patient care
mentally ill person
title Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study
title_full Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study
title_fullStr Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study
title_full_unstemmed Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study
title_short Challenges of Post-Discharge Follow-up in Psychiatric Patients in Isfahan Farabi Hospital: A Qualitative Study
title_sort challenges of post discharge follow up in psychiatric patients in isfahan farabi hospital a qualitative study
topic patients
patient discharge
continuity of patient care
mentally ill person
url http://jmums.mazums.ac.ir/article-1-18018-en.html
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AT nasrinsharbafchizade challengesofpostdischargefollowupinpsychiatricpatientsinisfahanfarabihospitalaqualitativestudy
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