Table 2.
Themes and Supporting Codesa
| Perceived impact on patient outcomes |
| Facilitators |
| Decrease length of stay |
| Reduce readmission |
| Prevent complications |
| Barriers |
| Patient goal alignment |
| Risk of adverse side effects due to contraindication |
| Increase length of stay |
| Takes focus off primary reason patient is hospitalized |
| Hospital structural characteristics |
| Facilitators |
| Hospital has many resources |
| Opportunity to re-evaluate care |
| Ability to coordinate care in one place |
| Expedite medication titration |
| Ability to monitor in-house |
| Patient is motivated |
| Controlled environment |
| Barriers |
| Adjusting chronic medications while patient is in non-chronic state |
| Provider knowledge and self-efficacy |
| Facilitators |
| Ethical responsibility |
| Defer to specialist |
| Barriers |
| Inpatient provider is liable if something goes wrong |
| Not area of expertise |
| Not gratifying |
| Management of chronic disease is role of outpatient provider |
| Hospital priorities |
| Barriers |
| Hospital efficiency |
| Cost |
| Continuity and communication |
| Facilitators |
| Influenced by knowing PCP |
| More likely to manage chronic disease if no PCP |
| Barriers |
| Require follow-up |
| Outpatient provider has to inherit decision |
| Lack of knowledge of outpatient plan |
| Difficult to manage if poor outpatient follow-up |
a
Codes are categorized as those that are primarily positive attitudes towards or facilitators of inpatient chronic disease management and those that are primarily negative attitudes or barriers towards this care.
NOTE: Abbreviation: PCP, primary care provider.