Review Article
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Abstract
This chapter reviews 94 published research reports on transitional care of older adults by nurse researchers and researchers from other disciplines. Reports were identified through searches of MEDLINE, CINAHL, HealthSTAR, Sociological Abstracts and PsycINFO using combinations of the following search terms: transitional care, discharge planning, care coordination, case management, continuity of care, referrals, postdischarge follow-up, patient assessment, patient needs, interventions, and evaluation. Reports were included if published between 1985 and 2001, if conducted on samples age 55 and older, if relevant to nursing research, and if published in English. Intervention studies had to have a control or comparison group and a test for statistical significance. Four key findings from this review were identified. A high proportion of elders and their caregivers report substantial unmet transitional care needs, with the need for information and increased access to services consistently among the top priorities. Differences in expectations between and among patients, families, and health care providers, and the need for increased patient and family involvement in decision making, are common themes in discharge planning studies. Gaps in communication have been identified through the discharge planning process. Evidence about the effects of innovations in transitional care on quality and cost outcomes is sparse. Four main recommendations are made. Differences in older adults’ transitional care needs based on race, ethnicity, and educational level, with attention to potential disparities, require further study. Studies of strategies to promote effective involvement of patients and families in decision making throughout discharge planning are needed. The development and testing of referral and other information systems designed to promote the transfer of accurate and complete information across sites of care should be a research focus. A priority for future research should be continued study of strategies to improve transitional care outcomes of older adults and their caregivers.
Period | Abstract | Full | Total | |
---|---|---|---|---|
Apr 2024 | 77 | 0 | 0 | 77 |
Mar 2024 | 46 | 0 | 0 | 46 |
Feb 2024 | 78 | 0 | 0 | 78 |
Jan 2024 | 81 | 0 | 0 | 81 |
Dec 2023 | 62 | 0 | 0 | 62 |
Nov 2023 | 67 | 0 | 0 | 67 |
Oct 2023 | 79 | 0 | 0 | 79 |
Sep 2023 | 106 | 0 | 0 | 106 |
Aug 2023 | 22 | 0 | 0 | 22 |
Jul 2023 | 34 | 0 | 0 | 34 |
Jun 2023 | 71 | 0 | 0 | 71 |
May 2023 | 56 | 0 | 0 | 56 |
Apr 2023 | 44 | 0 | 0 | 44 |
Mar 2023 | 101 | 0 | 0 | 101 |
Feb 2023 | 46 | 0 | 0 | 46 |
Jan 2023 | 45 | 0 | 0 | 45 |
Dec 2022 | 41 | 0 | 0 | 41 |
Nov 2022 | 79 | 0 | 0 | 79 |
Oct 2022 | 49 | 0 | 0 | 49 |
Sep 2022 | 49 | 0 | 1 | 50 |
Aug 2022 | 31 | 0 | 0 | 31 |
Jul 2022 | 54 | 0 | 0 | 54 |
Jun 2022 | 41 | 0 | 2 | 43 |
May 2022 | 99 | 0 | 0 | 99 |
Apr 2022 | 62 | 0 | 0 | 62 |
Mar 2022 | 56 | 0 | 0 | 56 |
Feb 2022 | 30 | 0 | 1 | 31 |
Jan 2022 | 50 | 0 | 0 | 50 |
Dec 2021 | 48 | 0 | 0 | 48 |
Nov 2021 | 98 | 0 | 0 | 98 |
Oct 2021 | 59 | 0 | 0 | 59 |
Sep 2021 | 26 | 0 | 0 | 26 |
Aug 2021 | 36 | 0 | 0 | 36 |
Jul 2021 | 18 | 0 | 1 | 19 |
Jun 2021 | 47 | 0 | 1 | 48 |
May 2021 | 52 | 0 | 0 | 52 |
Apr 2021 | 69 | 0 | 0 | 69 |
Mar 2021 | 50 | 0 | 0 | 50 |
Feb 2021 | 63 | 0 | 0 | 63 |
Jan 2021 | 78 | 0 | 0 | 78 |
Dec 2020 | 42 | 0 | 1 | 43 |
Nov 2020 | 66 | 0 | 0 | 66 |
Oct 2020 | 68 | 0 | 0 | 68 |
Sep 2020 | 59 | 0 | 0 | 59 |
Aug 2020 | 25 | 0 | 0 | 25 |
Jul 2020 | 36 | 0 | 0 | 36 |
Jun 2020 | 37 | 0 | 0 | 37 |
May 2020 | 116 | 0 | 2 | 118 |
Apr 2020 | 63 | 0 | 0 | 63 |
Mar 2020 | 50 | 0 | 0 | 50 |
Feb 2020 | 31 | 0 | 1 | 32 |
Jan 2020 | 28 | 0 | 0 | 28 |
Dec 2019 | 66 | 0 | 1 | 67 |
Nov 2019 | 66 | 0 | 1 | 67 |
Oct 2019 | 6 | 0 | 0 | 6 |
Sep 2019 | 9 | 0 | 0 | 9 |
Aug 2019 | 3 | 0 | 0 | 3 |
Jul 2019 | 1 | 0 | 0 | 1 |
Jun 2019 | 9 | 0 | 0 | 9 |
May 2019 | 25 | 0 | 0 | 25 |
Apr 2019 | 23 | 0 | 0 | 23 |
Mar 2019 | 66 | 0 | 1 | 67 |
Feb 2019 | 52 | 0 | 0 | 52 |
Jan 2019 | 62 | 0 | 0 | 62 |
Dec 2018 | 1 | 0 | 0 | 1 |
Nov 2018 | 5 | 0 | 0 | 5 |
Oct 2018 | 4 | 0 | 1 | 5 |
Sep 2018 | 3 | 0 | 0 | 3 |