Table 1.
“Trajectory”, (No. of days hospitalized), [No. of days followed in the study] |
Gender, Age (years) | Reason for admission, (Discharged to) |
Total observation timea, Hours (No. of days), [Observations conducted during day−/evening-shift]f |
HCPs/staff included in observationsa | Total time spent on interviews, (No. of contacts)b |
Professions interviewed and follow-ups with the older person, (Duration of each interview), |
---|---|---|---|---|---|---|
“Trajectory 1”, (16 days), [44 days] |
Female, 85 |
Fever and chest pain, Pneumonias, Admitted through the out-of-hour medical service, (Own home) |
11 h, (4 days), [Day-shift] |
Nursesc, Physicians, Occupational therapist, Physiotherapist, Porter |
2 h, 5 min (11 contacts) |
Primary care coordinator (5 min.), Homecare worker 1 (10 min.), Homecare worker 2 (30 min.), GP (General Practitioner) (15 min.), Assessment nurse**** (10 min.), Physiotherapist (30 min.). The older person (10 min., 10 min., 5 min) |
“Trajectory 2”, (4 days), [32 days] |
Male, 75 |
Acute abdominal pain, (Own home) |
14 h, (2 days), [Day-shift and evening-shift] |
Nursesc, Physicians, Porter, |
1 h, 25 min. (17 contacts) |
Nurse*** (10 min.), Primary care manager (15 min.), Primary care coordinator (5 min.), GP (10 min.), Homecare worker (10 min.), The older person (15 min., 15 min., 5 min.) |
“Trajectory 3”, (3 days), [39 days] |
Male, 70 |
Fall episodes and functional decline, (Own home) |
13 Hours, (2 days), [Day-shift and evening-shift] |
Nursesc, Physicians, Registrar |
1 h, 45 min. (11 contacts) |
GP (30 min.), Primary care coordinator (5 min.), Homecare worker (20 min.), Nursec (25 min.), The older person (15 min., 10 min., 10 min.) |
“Trajectory 4”, (2 days), [3 days] |
Female, 84 |
Dehydration and rash, (Died on the 2. Day of hospitalization, thus follow-up with the older woman was not possible) |
7 h, (2 days), [Day-shift] |
Nursecc Physicians, Radiologist, Porter, |
55 min. (5 contacts) |
GP (10 min.), Homecare worker (10 min.), Nursec (35 min.), |
“Trajectory 5”, (17 days), [39 days] |
Female, 83 |
Vomiting and diarrhea, (Own home. Died in the follow-up period. Thus, last follow-up not possible) |
14 h, (5 days), [Day-shift and evening-shift] |
Nurses, Physicians, Porter, Cleaning and service assistants |
2 h, 20 min. (7 contacts) |
Homecare worker (25 min.), Nursec(15 min.), GP (10 Min.), Assessment nursed(30 min.), Follow-up via close relative as the older person could not answer the phone (60 min., Text message from relative, −). |
“Trajectory 6”, (9 days), [37 days] |
Male, 78 |
Fall episode and dyspnea, (Own home) |
8 h, (2 days), [Day-shift and evening-shift] |
Nursesc, Physicians, Occupational therapist, Physiotherapist, Porter, |
50 min. (8 contacts) |
Nursesc (5 min.), Homecare worker (15 min.), Discharge coordinator (25 min.), GP (not possible, long-term leave). Follow-up with the older person via homecare worker, (−, 5 min., Text message from homecare worker). |
“Trajectory 7”, (2 days, then transferred to another Region for surgery, where observations was not possible), [30 days] |
Female, 89 |
Fall, Transitioned to another Region for surgery, (Rehabilitation center) |
7 h, (2 days), [Day-shift] |
Nursesc, Physicians |
Follow-up interview with the older person not possible, as she has no mobile phone. Instead a follow-up visit was conducted at the rehabilitation center, where relevant healthcare professionals where interviewed as well, (1 contact) |
Nursec (20 min.), GP (not possible, unresponsive). |
Other***** | – |
19 h, (3 days), [Day-shift] |
Not specified | Not specified | Not specified | |
Total |
93 h, (22 days) |
9 h 40 min. (60 contacts) | ||||
Average | 81 | 13 Hours (3 observation days) pr. trajectory |
1 h, 23 min., (9 contacts) pr. Trajectory |
a Observation time refer to the total sum of observations conducted in the representative trajectory at selected times across the number of days counted
bFollow-up interviews with the patients and/or relatives are included in the counting of contacts as well as coordinative phone-calls with e.g. secretaries or managers. Coordination activities are not stated in Table 2 as counting interviews though
c Nurses covers hospital nurses, student nurses and/or municipal employed nurses
dA municipal employed healthcare professional with a job function to evaluate the older peoples’ needs and determine which municipal services should be allocated
e General field observations conducted in the ED in the day-shift on days where recruiting trajectories was not possible
f Day-shift = before 3 Pm., Evening-shift = after Pm