About: The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review

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About: The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review
Creator	Salem, Mohamed Ana, · Cristina, · Carda, Arnal Carriazo, María De Paul, Hendry, · Illario, Maddelena Inzitari, · Kennelly, Siobhán Liew, Aaron Luz Lopez-Samaniego, · O'donovan, Mark Rafael Rodriguez-Acuña, · Rónán O'caoimh, · Sezgin, Duygu St, Vincent Teija Hammar, ·
Source	Medline; PMC
abstract	BACKGROUND AND AIM: Intermediate care describes services, including transitional care, that support the needs of middle-aged and older adults during care transitions and between different settings. This scoping review aimed to examine the effectiveness of intermediate care including transitional care interventions for middle-aged and older adults on function, healthcare utilisation, and costs. DESIGN: A scoping review of the literature was conducted including studies published between 2002 and 2019 with a transitional care and/or intermediate care intervention for adults aged ≥ 50. Searches were performed in CINAHL, Cochrane Library, EMBASE, Open Grey and PubMed databases. Qualitative and quantitative approaches were employed for data synthesis. RESULTS: In all, 133 studies were included. Interventions were grouped under four models of care: (a) Hospital-based transitional care (n = 8), (b) Transitional care delivered at discharge and up to 30 days after discharge (n = 70), (c) Intermediate care at home (n = 41), and (d) Intermediate care delivered in a community hospital, care home or post-acute facility (n = 14). While these models were associated with a reduced hospital stay, this was not universal. Intermediate including transitional care services combined with telephone follow-up and coaching support were reported to reduce short and long-term hospital re-admissions. Evidence for improved ADL function was strongest for intermediate care delivered by an interdisciplinary team with rehabilitation at home. Study design and types of interventions were markedly heterogenous, limiting comparability. CONCLUSIONS: Although many studies report that intermediate care including transitional care models reduce hospital utilisation, results were mixed. There is limited evidence for the effectiveness of these services on function, institutionalisation, emergency department attendances, or on cost-effectiveness. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s41999-020-00365-4) contains supplementary material, which is available to authorized users.
has issue date	2020-08-04(xsd:dateTime)
bibo:doi	10.1007/s41999-020-00365-4
bibo:pmid	32754841
has license	no-cc
sha1sum (hex)	7768832fdc4dd6c732e0ebede26c35928746292f
schema:url	https://doi.org/10.1007/s41999-020-00365-4
resource representing a document's title	The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review
has PubMed Central identifier	PMC7402396
has PubMed identifier	32754841
schema:publication	Eur Geriatr Med
resource representing a document's body	covid:7768832fdc4dd6c732e0ebede26c35928746292f#body_text
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