Evid Based Nurs doi:10.1136/eb-2014-101824
  • Care of the older person
  • Qualitative—other

Hospital discharge recommendations can be confusing for people of low socioeconomic status, and difficult to follow due to constraints or conflicting personal goals

  1. Jack Tsai
  1. Department of Psychiatry, Yale University School of Medicine, West Haven, Connecticut, USA
  1. Correspondence to: Dr Jack Tsai, Department of Psychiatry, Yale University School of Medicine, 950 Campbell Ave., 151D, West Haven, CT 06516, USA; Jack.Tsai{at}

Commentary on:

Implications for practice and research

  • Hospitals and providers need a deeper understanding of socioeconomic factors that are related to poor outcomes after hospital discharge to better serve patients with low socioeconomic status (SES).

  • Efforts to involve low-SES patients in their hospital care, such as through collaborative goal setting, should be considered.

  • Research on the relation between patient self-efficacy, adherence to recommended posthospital behaviours and long-term outcomes is needed.


Studies have found that patients attribute poor posthospital transitions to lack of preparedness, sense of exclusion from decisions regarding their care plan, abandonment by the healthcare system after discharge …

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