General inclusion | Country-specific inclusion | |
---|---|---|
Patients and/or family members | 18-years-old plus any of the following diagnoses: diabetes mellitus, asthma, COPD, chronic heart failure and/or prescribed 6+ drugs Recruited consecutively at the point of their hospital discharge Discharged to the community (ie, home or nursing home) | The Netherlands: patients admitted to internal medicine, pulmonary diseases, cardiology or (vascular) surgical wards Spain: patients belonging to cultural minority groups with limited health literacy (capacity to read, write and understand healthcare information) Poland: patients ≥60 years of age Italy: patients admitted to emergency ward Sweden: patients admitted to emergency ward from emergency room. If living at a nursing home, only within a geographically specified area |
Hospital physicians and nurses | Internal medicine, pulmonary diseases, cardiology or (vascular) surgical wards | |
GPs and community nurses | Representing the communities to which the patients were discharged | |
Exclusion criteria | ||
Patients referred to other care units within the hospital prior to their discharge home or discharge to another country |
COPD, chronic obstructive pulmonary disease; GP, general practitioner.