# Examining transitional care for patients and caregivers: Lessons from a Brazilian public university hospital

## TL;DR

This study explores how well transitional care services in a Brazilian hospital meet the needs of patients and caregivers after discharge, especially for those with chronic conditions.

## Contribution

The study provides insights into transitional care quality in a Brazilian public hospital using the CTM-15 Brazil tool and highlights the role of personalized care for chronic illness patients.

## Key findings

- Patients with chronic diseases or injuries showed higher satisfaction with transitional care services.
- A significant positive correlation was found between age and total transitional care scores.
- Hospital transitional care units are essential for patient reintegration and improving post-discharge outcomes.

## Abstract

•Examined patient and caregiver perceptions post-hospital discharge in Brazil.•Employed CTM-15 Brazil for data collection on transitional care quality.•Patients with chronic illnesses showed higher satisfaction with transitional care.•Hospital transitional care units play a vital role in patient reintegration.•Emphasized the importance of personalized care plans for enhancing outcomes

Examined patient and caregiver perceptions post-hospital discharge in Brazil.

Employed CTM-15 Brazil for data collection on transitional care quality.

Patients with chronic illnesses showed higher satisfaction with transitional care.

Hospital transitional care units play a vital role in patient reintegration.

Emphasized the importance of personalized care plans for enhancing outcomes

This study aimed to assess patient and caregiver perceptions following discharge from a hospital transitional care unit in a public university hospital in Brazil. Method: This cross-sectional study collected data through telephone contact using the adapted Brazilian version of the Care Transitions Measure (CTM-15 Brazil).

The present study showed better results in addressing key patient preferences and challenges in the care plan. The main results indicated that patients with chronic diseases or injuries had higher approval of the transitional care service. The main findings indicated that patients with chronic diseases or injuries had higher approval of the transitional care service. Additionally, a significant correlation was found between age and total score (positive) and age and care plan (negative).

Hospital transitional care units are crucial for reintegrating patients after hospitalization. Evaluating services with validated scales, like the CTM-15 Brazil, helps identify improvement areas and track outcomes.