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Evaluation & the Health Professions
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An Analysis of Decision Making in Discharge Planning

Frances M. Weaver

Hines Veterans Administration Hospital

Fred B. Bryant

Loyola University of Chicago

A repeated-measures design was used to examine medicalprofessionals'discharge planning strategies. Physicians, residents, nurses, and social workers were presented with 16 hypothetical case scenarios and asked to: (1) rate the appropriateness of four discharge options (nursing home, community nursing, adult day, and outpatient clinic care), and (2) select the most appropriate discharge plan for each case. Four within-group variables were included in the scenarios: physical impairment, caregiver availability, follow-up required, and patient compliance. Decisions were greatly influenced by caregiver availability. When a caregiver was available, respondents preferred community-based options (i.e., community nursing care or outpatient clinic); if the case involved complications (i.e., severe physical impairment, heavy follow-up, noncompliant patient), they considered community nursing care more appropriate than outpatient clinic. When a caregiver was unavailable, respondents preferred institution-based options (i.e., nursing home or adult daycare); if there were complications, they considered nursing home more appropriate that adult daycare.

Evaluation & the Health Professions, Vol. 13, No. 1, 121-142 (1990)
DOI: 10.1177/016327879001300107
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Home page
 Journal of Applied GerontologyHome page
D. O. Clark, N. Chumbler, and W. Nadzam
Resource Dependency and Discharge Planning in Metropolitan and Nonmetropolitan Hospitals
Journal of Applied Gerontology, September 1, 1994; 13(3): 267 - 281.
[Abstract] [PDF]