Going the extra mile - cross-border patient handover in a European border region: qualitative study of healthcare professionals' perspectives.

BMJ Quality & Safety
Juliëtte A BeukenMara E J Bouwmans

Abstract

Cross-border healthcare is complex, increasingly frequent and causes potential risks for patient safety. In this context, cross-border handovers or the transfer of patients from one country to another deserves particular attention. Although general handover has been the topic of extensive research, little is known about the challenges of handover across national borders, especially as perceived by stakeholders. In this study, we aimed to gain insight into healthcare professionals' perspectives on cross-border handover and ways to support this. We conducted semistructured interviews with healthcare professionals (physicians, nurses, paramedics and administrative staff) in a European border region to investigate their perspectives on cross-border handover. The interviews were aimed to investigate settings of acute and planned handover. Informed by the theory of planned behaviour (TPB), interviews focused on participant perspectives. We summarised all interviews and inductively identified healthcare professionals' perspectives. We used elements of the TPB as sensitising concepts. Forty-three healthcare professionals participated. Although respondents had neutral to positive attitudes, they often did not know very well what was exp...Continue Reading

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