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What is the role of healthcare professionals and community services in emergency admissions of people with advanced COPD and lung cancer? A secondary analysis

Chance, Gemma Jayne (2015)
M.Res. thesis, University of Birmingham.

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Patients with Chronic Obstructive Pulmonary Disease (COPD) and lung cancer are often admitted to hospital at the end of life. This study offers insight into the role of community healthcare professionals involved in preventing emergency admissions. Secondary analysis was conducted of data from a qualitative study exploring emergency admissions of patients with advanced COPD and lung cancer. Data was retrieved from twenty eight original interviews, including fifteen healthcare professionals from one district hospital. Data was organised into themes and analysed using a constructivist case study approach. This study investigated the healthcare professional’s roles in the admission process that had not been explored in depth in the primary study.

Understanding the role of healthcare professionals and community services in emergency admissions is complex and influenced by environmental factors. Patients admitted often experienced a change in normal support, gaps in service provision and being left with no alternative than hospital admission.

Absence of key healthcare professionals or community support increases the risk of emergency admission.

This study highlights the importance of consistency in care organisation within community settings. Strategies need to be implemented to manage patient expectations and promote understanding of community support.

Type of Work:M.Res. thesis.
Supervisor(s):Bailey, Cara and Hewison, Alistair
School/Faculty:Colleges (2008 onwards) > College of Medical & Dental Sciences
Department:School of Health and Population Sciences
Subjects:HV Social pathology. Social and public welfare
RA0421 Public health. Hygiene. Preventive Medicine
Institution:University of Birmingham
ID Code:5712
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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