Promoting health literacy of older post-discharge patients in general practice - Creation of the GP-MATE communication tool through co-design.

Abstract

Work with older patients and their carers to co-design a tool that improves patient - general practice communication and continuity of care following discharge of an older person from hospital. Experience Based Co-Design with three teams of six to seven lay people (older patients and their carers), each supported by a corresponding general practice group. The process included an implementation-focused event with participants using the intervention in a live role-play. Co-design generated a patient-held tool (GP-MATE) that focuses on four areas of post-discharge care: carers/caring; continuity; medication safety and information power. Access to general practice for patients/carers post-discharge was considered to be vital to improving communication. The co-design process enabled patients and carers to be involved through all stages of intervention development, ensuring relevance and alignment. The intervention is uniquely suited to general practice, comprehensive yet brief enough to be usable within a 20-minute consultation. While the domains of GP-MATE compare well with existing care transitions literature, it will be important to assess impact on already busy practice schedules and impact on care.