From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge

• Published in: Social science & medicine (1982) Vol. 235; p. 112370
• Main Authors: Bishop, Simon, Waring, Justin
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.08.2019; Pergamon Press Inc
• Subjects: Anthropology, Cultural - methods; Boundaries; Boundary objects; Care plans; Caregivers; Complexity; Continuity of Patient Care - standards; Continuity of Patient Care - statistics & numerical data; Coordinated care; Coordination; Discharge; Discharge planning; Evidence-based practice; Health care; Health services; Hospitals - statistics & numerical data; Humans; Medical personnel; Organization and Administration - standards; Organizational research; Participation; Patient Discharge - standards; Patient Discharge - statistics & numerical data; Patient Handoff; Patient involvement; Patient participation; Patients; Power; Professional boundaries; Professions; Qualitative Research; Quality of care; Science and technology; Sociological research; Sociology of science; State Medicine - organization & administration; State Medicine - statistics & numerical data; Surgery; Technology; United Kingdom; Coordinated care; Boundary objects; United Kingdom; Patient involvement; Professional boundaries; Professions; Complexity

Advocates for patient involvement argue that seeking the active contribution of patients and families in the coordination of care can help mitigate system complexity, and lead to improvements in quality. However, sociological and organisational research has identified barriers to involving patients...