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Why is hospital discharge so difficult? Reconsidering patient trajectories in theory and practice: Insights from an ethnographic study of transitions in hip fracture care

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  • Allen, Davina

Abstract

This paper combines translational mobilisation theory and assemblage thinking to elaborate the patient trajectory concept. Deploying ethnographic research on transitions in hip fracture care in Wales (2014–2016), it describes and explains the structures and logics that condition transition interfaces, how transition infrastructures enact patients and with what effects. Comparative analysis of transition in three distinctive assemblages offers new insights into the challenges of hospital discharge and opportunities for research and improvement.

Suggested Citation

  • Allen, Davina, 2024. "Why is hospital discharge so difficult? Reconsidering patient trajectories in theory and practice: Insights from an ethnographic study of transitions in hip fracture care," Social Science & Medicine, Elsevier, vol. 347(C).
  • Handle: RePEc:eee:socmed:v:347:y:2024:i:c:s0277953624002132
    DOI: 10.1016/j.socscimed.2024.116769
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    References listed on IDEAS

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    1. Davina Allen & Carl May, 2017. "Organizing Practice and Practicing Organization: An Outline of Translational Mobilization Theory," SAGE Open, , vol. 7(2), pages 21582440177, June.
    2. Timmermans, Stefan & Almeling, Rene, 2009. "Objectification, standardization, and commodification in health care: A conceptual readjustment," Social Science & Medicine, Elsevier, vol. 69(1), pages 21-27, July.
    3. Hilligoss, Brian, 2014. "Selling patients and other metaphors: A discourse analysis of the interpretive frames that shape emergency department admission handoffs," Social Science & Medicine, Elsevier, vol. 102(C), pages 119-128.
    4. Bishop, Simon & Waring, Justin, 2019. "From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    5. Skovgaard, Anna Louise & Jørgensen, Marianne Johansson & Tjørnhøj-Thomsen, Tine & Høybye, Mette Terp, 2022. "Discharge readiness as an infrastructure: Negotiating the transfer of care for elderly patients in medical wards," Social Science & Medicine, Elsevier, vol. 312(C).
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