The lack of continuity of care during the transition from hospital to community has been identified as a problem with serious negative implications for the well-being of individuals in many countries where this has been studied, including Canada, the United States, the United Kingdom, Australia, Sweden, and Japan. Studies examining the experiences of patients and their informal caregivers deal mainly with medical issues and medical uncertainty. The social needs of the patients, such as the availability of supportive family environments, financial stability, and knowledge of community services, are implicitly present as a context for various interventions, but they rarely become a focus of analysis.