Skip to main content

Table 2 Activated text: screening questionnaire to the post-discharge follow-up program (Region Zealand: Post-discharge follow-up screening questionnaire, unpublished)

From: Implementation between text and work—a qualitative study of a readmission prevention program targeting elderly patients

“Instruction:

If three or more check marks are obtained, an interdisciplinary decision* should determine whether the patient is to be offered post-discharge follow-up visits. The interdisciplinary decision should be made in dialogue** with the municipality whenever possible.

*In the interdisciplinary decision, the following elements should be taken in to account:

• Nursing needs as well as medical needs.

• Magnitude of individual problems.

**Applies in situations where the dialogue with municipal staff has already been obtained, i.e. planning meetings.”