title: Physiotherapists' perceptions of and experiences with the discharge planning process in acute-care general internal medicine units in ontario.
abstract: OBJECTIVE
  To examine discharge planning of patients in general internal medicine units in Ontario acute-care hospitals from the perspective of physiotherapists.
  
  
  METHODS
  A cross-sectional study using an online questionnaire was sent to participants in November 2011. Respondents' demographic characteristics and ranking of factors were analyzed using descriptive statistics; t-tests were performed to determine between-group differences (based on demographic characteristics). Responses to open-ended questions were coded to identify themes.
  
  
  RESULTS
  Mobility status was identified as the key factor in determining discharge readiness; other factors included the availability of social support and community resources. While inter-professional communication was identified as important, processes were often informal. Discharge policies, timely availability of other discharge options, and pressure for early discharge were identified as affecting discharge planning. Respondents also noted a lack of training in discharge planning; accounts of ethical dilemmas experienced by respondents supported these themes.
  
  
  CONCLUSIONS
  Physiotherapists consider many factors beyond the patient's physical function during the discharge planning process. The improvement of team communication and resource allocation should be considered to deal with the realities of discharge planning.
authors.affiliation: Toronto Western Hospital, University Health Network, Toronto.
authors.forename: Lakshmi
authors.initials: L
authors.lastname: Matmari
authors.affiliation: Toronto Western Hospital, University Health Network, Toronto.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Uyeno
authors.affiliation: Allied Health/Health Professions, University Health Network, Toronto ; Department of Physical Therapy, University of Toronto, Toronto.
authors.forename: Carol S
authors.initials: CS
authors.lastname: Heck
keywords: discharge planning; internal medicine; survey