{"id":"https://openalex.org/W7204472604","doi":"https://doi.org/10.64898/2026.08.24.26361282","title":"Beyond Length of Stay: Patient and Carer Perspectives on Virtual Hospital Pathways Following Colorectal Surgery","display_name":"Beyond Length of Stay: Patient and Carer Perspectives on Virtual Hospital Pathways Following Colorectal Surgery","publication_year":2026,"publication_date":"2026-08-27","ids":{"openalex":"https://openalex.org/W7204472604","doi":"https://doi.org/10.64898/2026.08.24.26361282"},"language":"en","primary_location":{"id":"doi:10.64898/2026.08.24.26361282","doi":"https://doi.org/10.64898/2026.08.24.26361282","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.08.24.26361282","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/08/27/2026.08.24.26361282.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/08/27/2026.08.24.26361282.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5123883955","display_name":"Lillian Reza","orcid":"https://orcid.org/0000-0002-1993-2989","observed_orcids":["https://orcid.org/0000-0002-1993-2989"]},"institutions":[{"id":"https://openalex.org/I2800621266","display_name":"West Hertfordshire Hospitals NHS Trust","ror":"https://ror.org/03e4g1593","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266"]},{"id":"https://openalex.org/I2801227293","display_name":"Watford General Hospital","ror":"https://ror.org/01v13p275","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lillian Reza","raw_affiliation_strings":["Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK","institution_ids":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138916919","display_name":"Zahra Arabi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800621266","display_name":"West Hertfordshire Hospitals NHS Trust","ror":"https://ror.org/03e4g1593","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266"]},{"id":"https://openalex.org/I2801227293","display_name":"Watford General Hospital","ror":"https://ror.org/01v13p275","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Zahra Arabi","raw_affiliation_strings":["Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK","institution_ids":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016609291","display_name":"Helen Ward","orcid":"https://orcid.org/0000-0001-8238-5036","observed_orcids":["https://orcid.org/0000-0001-8238-5036","https://orcid.org/0000-0002-3667-3712"]},"institutions":[{"id":"https://openalex.org/I4210106957","display_name":"St Mary's Hospital","ror":"https://ror.org/01aysdw42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I153355300","https://openalex.org/I4210106957"]},{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Helen Ward","raw_affiliation_strings":["Public Health, Imperial College London, 10th Floor QEQM Building, St Mary\u2019s Hospital, London W2 1NY, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Public Health, Imperial College London, 10th Floor QEQM Building, St Mary\u2019s Hospital, London W2 1NY, UK","institution_ids":["https://openalex.org/I4210106957","https://openalex.org/I47508984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130781332","display_name":"Laura Payne","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800621266","display_name":"West Hertfordshire Hospitals NHS Trust","ror":"https://ror.org/03e4g1593","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266"]},{"id":"https://openalex.org/I2801227293","display_name":"Watford General Hospital","ror":"https://ror.org/01v13p275","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Laura Payne","raw_affiliation_strings":["Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK","institution_ids":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136741942","display_name":"James Kinross","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106957","display_name":"St Mary's Hospital","ror":"https://ror.org/01aysdw42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I153355300","https://openalex.org/I4210106957"]},{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"James Kinross","raw_affiliation_strings":["Department of Surgery and Cancer, Imperial College London, 10th Floor QEQM Building, St Mary\u2019s Hospital, London W2 1NY, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery and Cancer, Imperial College London, 10th Floor QEQM Building, St Mary\u2019s Hospital, London W2 1NY, UK","institution_ids":["https://openalex.org/I4210106957","https://openalex.org/I47508984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061499235","display_name":"Vanash Patel","orcid":"https://orcid.org/0000-0002-5535-950X","observed_orcids":["https://orcid.org/0000-0002-5535-950X"]},"institutions":[{"id":"https://openalex.org/I2800621266","display_name":"West Hertfordshire Hospitals NHS Trust","ror":"https://ror.org/03e4g1593","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266"]},{"id":"https://openalex.org/I2801227293","display_name":"Watford General Hospital","ror":"https://ror.org/01v13p275","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]},{"id":"https://openalex.org/I4210106957","display_name":"St Mary's Hospital","ror":"https://ror.org/01aysdw42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I153355300","https://openalex.org/I4210106957"]},{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Vanash Patel","raw_affiliation_strings":["Department of Surgery and Cancer, Imperial College London, 10th Floor QEQM Building, St Mary\u2019s Hospital, London W2 1NY, UK","Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery and Cancer, Imperial College London, 10th Floor QEQM Building, St Mary\u2019s Hospital, London W2 1NY, UK","institution_ids":["https://openalex.org/I4210106957","https://openalex.org/I47508984"]},{"raw_affiliation_string":"Department of Surgery, Anaesthetics and Cancer, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital, Vicarage Road, WD18 0HB, UK","institution_ids":["https://openalex.org/I2800621266","https://openalex.org/I2801227293"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5061499235"],"corresponding_institution_ids":["https://openalex.org/I2800621266","https://openalex.org/I2801227293","https://openalex.org/I4210106957","https://openalex.org/I47508984"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.7778000235557556,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.7778000235557556,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.19089999794960022,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.007799999788403511,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/virtual-hospital","display_name":"virtual hospital","score":0.9150000214576721},{"id":"https://openalex.org/keywords/colorectal-surgery","display_name":"colorectal surgery","score":0.8579999804496765},{"id":"https://openalex.org/keywords/early-hospital-discharge","display_name":"early discharge","score":0.6990000009536743},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8109999895095825},{"id":"https://openalex.org/keywords/remote-monitoring","display_name":"remote monitoring","score":0.6309999823570251},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.9129999876022339},{"id":"https://openalex.org/keywords/caregiver-burden","display_name":"caregiver burden","score":0.9210000038146973},{"id":"https://openalex.org/keywords/postoperative-recovery","display_name":"postoperative recovery","score":0.7009999752044678},{"id":"https://openalex.org/keywords/discharge-readiness","display_name":"discharge readiness","score":0.8109999895095825},{"id":"https://openalex.org/keywords/patient-and-caregiver-experiences","display_name":"patient and caregiver experiences","score":0.6320000290870667},{"id":"https://openalex.org/keywords/digital-literacy","display_name":"digital literacy","score":0.6439999938011169},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.8029999732971191},{"id":"https://openalex.org/keywords/robotic-surgery","display_name":"robotic surgery","score":0.5699999928474426},{"id":"https://openalex.org/keywords/home-care","display_name":"home care","score":0.3310000002384186}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8274999856948853},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5465999841690063},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.5378999710083008},{"id":"https://openalex.org/C3017624810","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Hospital discharge","level":2,"score":0.49549999833106995},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.4681999981403351},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.40400001406669617},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3727000057697296},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.35499998927116394},{"id":"https://openalex.org/C2779182362","wikidata":"https://www.wikidata.org/wiki/Q17126187","display_name":"Session (web analytics)","level":2,"score":0.3474999964237213},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3386000096797943},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.33709999918937683},{"id":"https://openalex.org/C3018696549","wikidata":"https://www.wikidata.org/wiki/Q662272","display_name":"Intestinal failure","level":3,"score":0.33379998803138733},{"id":"https://openalex.org/C523026621","wikidata":"https://www.wikidata.org/wiki/Q1413084","display_name":"Colorectal surgery","level":3,"score":0.3337000012397766},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.3140000104904175},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.3077999949455261},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.29339998960494995},{"id":"https://openalex.org/C2992462319","wikidata":"https://www.wikidata.org/wiki/Q181600","display_name":"Discharge planning","level":2,"score":0.29319998621940613},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.28600001335144043},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.27489998936653137},{"id":"https://openalex.org/C2775860198","wikidata":"https://www.wikidata.org/wiki/Q7257872","display_name":"Public hospital","level":2,"score":0.2741999924182892},{"id":"https://openalex.org/C2992870097","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Patient discharge","level":3,"score":0.26429998874664307},{"id":"https://openalex.org/C3018456013","wikidata":"https://www.wikidata.org/wiki/Q204015","display_name":"Bowel function","level":2,"score":0.25529998540878296}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.08.24.26361282","doi":"https://doi.org/10.64898/2026.08.24.26361282","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.08.24.26361282","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/08/27/2026.08.24.26361282.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.08.24.26361282","doi":"https://doi.org/10.64898/2026.08.24.26361282","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.08.24.26361282","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/08/27/2026.08.24.26361282.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204472604.pdf","grobid_xml":"https://content.openalex.org/works/W7204472604.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2913641513","https://openalex.org/W2950504429","https://openalex.org/W3201873331","https://openalex.org/W4232698832","https://openalex.org/W4280551912","https://openalex.org/W4285798061","https://openalex.org/W4387498397","https://openalex.org/W4394738992","https://openalex.org/W4416637285","https://openalex.org/W7143288025","https://openalex.org/W7151810010"],"related_works":["https://openalex.org/W7141103761","https://openalex.org/W7162084900","https://openalex.org/W4372184647","https://openalex.org/W4406660486","https://openalex.org/W4402709470","https://openalex.org/W4404347672","https://openalex.org/W4409919595","https://openalex.org/W7131300891","https://openalex.org/W6995523364","https://openalex.org/W7172335201"],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"Virtual":[2],"hospital":[3],"(VH)":[4],"pathways":[5,128,227],"support":[6,191],"early":[7,116,243,262],"discharge":[8,117,209,244,263],"through":[9],"remote":[10,102,119],"monitoring,":[11,103],"but":[12,137],"limited":[13],"evidence":[14],"has":[15],"hindered":[16],"implementation":[17,260],"in":[18,148],"colorectal":[19,34],"surgery.":[20,35],"This":[21],"study":[22],"aimed":[23],"to":[24,146,174,256],"define":[25],"patient-and":[26],"carer-relevant":[27],"outcomes":[28],"and":[29,39,42,111,126,196,204,214,223,230,251,258],"experiences":[30],"of":[31,76,124,179,236,242,261],"VH":[32,62,186,226],"following":[33,63],"Methodology":[36],"A":[37],"patient":[38],"public":[40],"involvement":[41],"engagement":[43],"(PPIE)":[44],"consultation":[45],"was":[46,84,132,144,170,201,210],"conducted":[47],"with":[48,142,156,185,189,221],"8":[49],"participants":[50,77],"(7":[51],"patients,":[52],"1":[53],"carer;":[54],"4":[55,57],"women,":[56],"men)":[58],"who":[59],"had":[60,78],"experienced":[61,79],"bowel":[64],"resection":[65],"at":[66,160,192,208,218],"a":[67,234,265],"high-volume":[68],"robotic":[69],"unit.":[70],"Purposive":[71],"sampling":[72],"ensured":[73],"that":[74],"50%":[75],"readmission.":[80],"The":[81],"90-minute":[82],"session":[83],"delivered":[85],"via":[86],"Microsoft":[87],"Teams.":[88],"Data":[89],"were":[90,99,129,183],"analysed":[91],"using":[92,264],"reflexive":[93],"thematic":[94],"analysis.":[95],"Results":[96],"Seven":[97],"themes":[98],"identified:":[100],"readmission,":[101],"carer":[104,249],"burden,":[105],"recovery,":[106],"equity,":[107],"readiness":[108,200],"for":[109],"discharge,":[110],"information":[112],"delivery.":[113],"Patients":[114],"supported":[115],"when":[118],"monitoring":[120,152],"enabled":[121],"timely":[122],"detection":[123],"complications":[125],"readmission":[127,143],"efficient.":[130],"Readmission":[131,232],"not":[133],"perceived":[134],"as":[135,138],"failure":[136,241],"appropriate":[139],"escalation.":[140],"Dissatisfaction":[141],"related":[145],"delays":[147],"emergency":[149],"care.":[150],"Remote":[151],"provided":[153],"psychological":[154],"safety,":[155],"patients":[157,222],"feeling":[158],"\u201cheld\u201d":[159],"home.":[161],"Carers":[162],"assumed":[163],"substantial,":[164],"often":[165,211],"unrecognised,":[166],"quasi-clinical":[167],"roles.":[168],"Recovery":[169],"defined":[171],"by":[172],"return":[173],"function":[175],"rather":[176,239],"than":[177,240],"length":[178],"stay.":[180],"Equity":[181],"concerns":[182],"evident,":[184],"favouring":[187],"those":[188],"adequate":[190],"home,":[193],"digital":[194],"literacy,":[195],"language":[197],"proficiency.":[198],"Discharge":[199],"both":[202],"clinical":[203],"psychological.":[205],"Information":[206],"delivery":[207],"poorly":[212],"retained":[213],"requires":[215],"reinforcement":[216],"preoperatively":[217],"every":[219],"encounter":[220],"carers.":[224],"Conclusions":[225],"are":[228,254],"acceptable":[229],"valued.":[231],"is":[233],"marker":[235],"system":[237],"responsiveness":[238],"on":[245],"VH.":[246],"Psychological":[247],"preparedness,":[248],"support,":[250],"equitable":[252],"access":[253],"critical":[255],"successful":[257],"scalable":[259],"virtual":[266],"hospital.":[267]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-08-28T00:00:00"}
