Care transition types across acute, sub-acute and primary care: case studies of older people with complex conditions and their carers

Harvey, Desley, Foster, Michele, Quigley, Rachel, and Strivens, Edward (2018) Care transition types across acute, sub-acute and primary care: case studies of older people with complex conditions and their carers. Journal of Integrated Care, 26 (3). pp. 189-198.

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Abstract

Purpose The purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements.

Design/methodology/approach A longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared.

Findings Three types of care transitions were derived from the analysis: manageable, unstable and disrupted. Each type had distinguishing characteristics and older people could experience elements of all types across the system. Transition types varied according to personal and systemic factors.

Originality/value This study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole.

Item ID: 54596
Item Type: Article (Research - C1)
ISSN: 2042-8685
Keywords: Australia, Older people, Care transitions, Case study design, Sub-acute care
Copyright Information: © Emerald Publishing Limited 2018.
Funders: Australian Primary Health Care Research Institute (APHCRI)
Date Deposited: 18 Jul 2018 07:53
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111702 Aged Health Care @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111001 Aged Care Nursing @ 50%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920202 Carer Health @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920502 Health Related to Ageing @ 50%
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