Table 1.
Methods | Case A (rural) | Case B (city) |
---|---|---|
Participant observation (including open-ended, interactive conversations with patients, next of kin, staff) |
Admission: 8–10 patient cases (mix of orthopaedic and medical, 2–5 h of observation per case) Discharge: 8–10 patient cases (mix of orthopaedic and medical, 5–10 h* of observation per case) |
Admission: 12–15 patient cases (mix of orthopaedic and medical, 2–5 h of observation per case) Discharge: 12–15 patient cases (mix of orthopaedic and medical, 5–10 h* of observation per case) |
Individual interviews with staff |
Admission: 12–15 (ambulance workers, ER nurses, ER doctors) Discharge: 20–30 (hospital doctors, general practitioners, nursing home doctors, hospital nurses, nursing home nurses, home-based care nurses, hospital physicians, community-based physicians, community-based patient coordinators) |
Admission: 12–15 (ambulance workers, ER nurses, ER doctors) Discharge: 20–30 (hospital doctors, general practitioners, nursing home doctors, hospital nurses, nursing home nurses, home-based care nurses, hospital physicians, community-based physicians, community-based patient coordinators) |
Document analysis |
Admission: admission summaries, medication lists Discharge: discharge summaries, medication lists, follow-up care notes |
Admission: admission summaries, medication lists Discharge: discharge summaries, medication lists, follow-up care notes |
*If practically possible, some of the observations will include data collection (patient and personnel conversations, number of transitions) related to follow-up care (30 days).