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Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review
INTRODUCTION: Frail older adults frequently experience transitions from hospital to home due to their complex care needs. Transitional care models (TCMs) are recommended to tackle adverse outcomes in frail patients. This review summarizes the use of integrated care components in addressing transitio...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9248982/ https://www.ncbi.nlm.nih.gov/pubmed/35855092 http://dx.doi.org/10.5334/ijic.6447 |
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author | Leithaus, Merel Beaulen, Audrey de Vries, Erica Goderis, Geert Flamaing, Johan Verbeek, Hilde Deschodt, Mieke |
author_facet | Leithaus, Merel Beaulen, Audrey de Vries, Erica Goderis, Geert Flamaing, Johan Verbeek, Hilde Deschodt, Mieke |
author_sort | Leithaus, Merel |
collection | PubMed |
description | INTRODUCTION: Frail older adults frequently experience transitions from hospital to home due to their complex care needs. Transitional care models (TCMs) are recommended to tackle adverse outcomes in frail patients. This review summarizes the use of integrated care components in addressing transitional care from hospital to home, provides an overview on reported outcomes and describes the impact of identified components on the outcomes hospital readmission and emergency department visit. METHODS: This study is part of the European TRANS-SENIOR project. PubMed, CINAHL and Embase were searched for studies in English, German and Dutch that describe a TCM for frail older patients including both pre- and post-discharge components. RESULTS: Seventeen studies, covering 15 TCMs were included. All TCMs describe a person-centred, tailored, pro-active and continuous transitional care service. Components like a small sized care team, intensive follow-up, shared decision making and informal caregiver involvement are likely to be associated with reduced hospital readmission and ED visits. Twenty-seven transitional care outcomes were reported: 19 service outcomes, six patient outcomes and two provider outcomes. CONCLUSION: Heterogeneity in content and outcomes complicates between-study comparison, yet several components were identified that improved care outcomes. Patient and provider outcomes should be included in future research. |
format | Online Article Text |
id | pubmed-9248982 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-92489822022-07-18 Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review Leithaus, Merel Beaulen, Audrey de Vries, Erica Goderis, Geert Flamaing, Johan Verbeek, Hilde Deschodt, Mieke Int J Integr Care Research and Theory INTRODUCTION: Frail older adults frequently experience transitions from hospital to home due to their complex care needs. Transitional care models (TCMs) are recommended to tackle adverse outcomes in frail patients. This review summarizes the use of integrated care components in addressing transitional care from hospital to home, provides an overview on reported outcomes and describes the impact of identified components on the outcomes hospital readmission and emergency department visit. METHODS: This study is part of the European TRANS-SENIOR project. PubMed, CINAHL and Embase were searched for studies in English, German and Dutch that describe a TCM for frail older patients including both pre- and post-discharge components. RESULTS: Seventeen studies, covering 15 TCMs were included. All TCMs describe a person-centred, tailored, pro-active and continuous transitional care service. Components like a small sized care team, intensive follow-up, shared decision making and informal caregiver involvement are likely to be associated with reduced hospital readmission and ED visits. Twenty-seven transitional care outcomes were reported: 19 service outcomes, six patient outcomes and two provider outcomes. CONCLUSION: Heterogeneity in content and outcomes complicates between-study comparison, yet several components were identified that improved care outcomes. Patient and provider outcomes should be included in future research. Ubiquity Press 2022-06-29 /pmc/articles/PMC9248982/ /pubmed/35855092 http://dx.doi.org/10.5334/ijic.6447 Text en Copyright: © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Research and Theory Leithaus, Merel Beaulen, Audrey de Vries, Erica Goderis, Geert Flamaing, Johan Verbeek, Hilde Deschodt, Mieke Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review |
title | Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review |
title_full | Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review |
title_fullStr | Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review |
title_full_unstemmed | Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review |
title_short | Integrated Care Components in Transitional Care Models from Hospital to Home for Frail Older Adults: A Systematic Review |
title_sort | integrated care components in transitional care models from hospital to home for frail older adults: a systematic review |
topic | Research and Theory |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9248982/ https://www.ncbi.nlm.nih.gov/pubmed/35855092 http://dx.doi.org/10.5334/ijic.6447 |
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