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Patient Experience of Multidisciplinary Communication and Care Coordination in a Saudi Tertiary Hospital: A Mixed-Methods Study

Author(s) Manawi S. Almutairi, Soaad H. Alenizi, Ghadeer G. Alenizi, Ohood A. Almutawa, Maha J. Alshammari, Hana A. Alsaadoun, Huda M. Alanizi, Nouf A. Almutairi, Areej M. Alhawas, Modhi S. Al Enazi
Country Saudi Arabia
Abstract Background: Patient experience in tertiary hospitals is strongly influenced by how well multidisciplinary teams communicate and coordinate care. However, gaps in information consistency and discharge communication may persist, especially when multiple disciplines are involved.
Objective: To evaluate patient experience related to multidisciplinary communication and care coordination in a tertiary hospital in Saudi Arabia, and to identify key barriers and feasible improvement opportunities from healthcare staff perspectives.
Methods: We conducted a single-centre convergent mixed-methods study including (1) a cross-sectional survey of adult inpatients at discharge and (2) a staff survey of nurses, physicians, dentists, and occupational therapists, supplemented by semi-structured interviews/focus groups. The primary outcome was a composite Multidisciplinary Communication and Coordination Score. Quantitative data were analysed descriptively and using multivariable regression, while qualitative data were analysed thematically and integrated with survey findings.
Results: Hypothetically, 312 patients and 214 staff participated. The mean patient communication/coordination score was 76.4/100 (SD 12.8). The lowest patient-rated domains were information consistency and discharge communication, and 19.2% of patients reported receiving conflicting advice. Lower patient experience scores were associated with ICU exposure, longer length of stay, discharge to a facility, and reporting conflicting information. Staff teamwork perceptions were generally favourable, but communication was the lowest domain; common barriers included workload/time pressure, unclear roles, handover variability, and fragmented documentation. Qualitative findings supported these results and highlighted four themes: mixed messages across the care team, role ambiguity reducing ownership of education, handover/documentation gaps, and practical solutions such as shared discharge checklists, interdisciplinary huddles, and clear role mapping.
Conclusion: Multidisciplinary communication was rated positively overall, but consistency of information and discharge communication emerged as key gaps. Integrated quantitative and qualitative findings suggest that low-cost workflow interventions—standardised discharge education tools, clearer role assignment, and structured interdisciplinary alignment—may improve patient experience in tertiary hospital care.
Keywords patient experience; communication; interprofessional collaboration; multidisciplinary care; teamwork; discharge planning; qualitative; Saudi Arabia.
Field Medical / Pharmacy
Published In Volume 15, Issue 3, July-September 2024
Published On 2024-07-05
DOI https://doi.org/10.5281/zenodo.18550188
Short DOI https://doi.org/hbn2nt
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