In the US, post-acute care in skilled nursing facilities (SNFs) vary greatly across facilities. Little is known about the expectations of patients and their caregivers about physician care during the hospital to SNF transition. A team lead by Kira Ryskina, MD, MSHP, along with Senior Author and PISC Senior Scholar Nancy Hodgson, RN, PhD, FAAN, aimed to (1) describe the experiences and expectations of patients and their caregivers with SNF physicians in SNFs, and identify patterns that differed between patients with vs. without cognitive impairment. They used a grounded theory approach to analyze data collected from semi-structured interviews.
Major themes from these interviews were that (1) patients had poor awareness of the physician in charge of their care; (2) they were dissatisfied with the frequency of interaction with the physician; and (3) participants valued the perception of receiving individualized care from the physician. Patient and caregiver expectations of SNF physicians were not well aligned with their experiences. Ryskina et a.l suggest SNF's focus on facilitating frequent communication between physicians, patients and caregivers to improve satisfaction with care.