keyword
https://read.qxmd.com/read/38530349/equity-centered-postdischarge-support-for-medicaid-insured-people-protocol-for-a-type-1-hybrid-effectiveness-implementation-stepped-wedge-cluster-randomized-controlled-trial
#1
JOURNAL ARTICLE
J Margo Brooks Carthon, Heather Brom, Marsha Grantham-Murrillo, Kathy Sliwinski, Aleigha Mason, Mindi Roeser, Donna Miles, Dianne Garcia, Jovan Bennett, Michael O Harhay, Emilia Flores, Kelvin Amenyedor, Rebecca Clark
BACKGROUND: Disparities in posthospitalization outcomes for people with chronic medical conditions and insured by Medicaid are well documented, yet interventions that mitigate them are lacking. Prevailing transitional care interventions narrowly target people aged 65 years and older, with specific disease processes, or limitedly focus on individual-level behavioral change such as self-care or symptom management, thus failing to adequately provide a holistic approach to ensure an optimal posthospital care continuum...
March 26, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38529647/transforming-posthospital-stroke-care-outcomes-and-use-of-new-innovations-through-implementation-science
#2
JOURNAL ARTICLE
Janet Prvu Bettger, Michelle Nichols, Charles Esenwa, Alexis N Simpkins
No abstract text is available yet for this article.
March 26, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38508663/bridging-the-gap-a-resident-led-transitional-care-clinic-to-improve-post-hospital-care-in-a-safety-net-academic-community-hospital
#3
JOURNAL ARTICLE
Patrick Li, Tiffany Kang, Sandy Carrillo-Argueta, Vickie Kassapidis, Rebecca Grohman, Michael J Martinez, Daniel J Sartori, Rachael Hayes, Ramiro Jervis, Marwa Moussa
The transitional period between hospital discharge and primary care follow-up is a vulnerable time for patients that can result in adverse health outcomes and preventable hospital readmissions. This is especially true for patients of safety-net hospitals (SNHs) who often struggle to secure primary care access when leaving the hospital due to social, economic and cultural barriers. In this study, we describe a resident-led postdischarge clinic that serves patients discharged from NYU Langone Hospital-Brooklyn, an urban safety-net academic hospital...
March 19, 2024: BMJ Open Quality
https://read.qxmd.com/read/38500183/an-assessment-of-adaptation-and-fidelity-in-the-implementation-of-an-audit-and-feedback-based-intervention-to-improve-transition-to-adult-type-1-diabetes-care-in-ontario-canada
#4
JOURNAL ARTICLE
Syed Zain Ahmad, Noah Ivers, Ian Zenlea, Janet A Parsons, Baiju R Shah, Geetha Mukerji, Zubin Punthakee, Rayzel Shulman
BACKGROUND: The fit between an intervention and its local context may affect its implementation and effectiveness. Researchers have stated that both fidelity (the degree to which an intervention is delivered, enacted, and received as intended) and adaptation to the local context are necessary for high-quality implementation. This study describes the implementation of an audit and feedback (AF)-based intervention to improve transition to type 1 diabetes adult care, at five sites, in terms of adaptation and fidelity...
March 18, 2024: Implementation science communications
https://read.qxmd.com/read/38498626/hospitalists-attitudes-and-experiences-with-posthospitalization-care-transitions-for-patients-with-substance-use-disorders-a-cross-sectional-analysis
#5
JOURNAL ARTICLE
Michael A Incze, Sophia Huebler, David Chen, Andrea Stofko, Chaorong Wu, Jacob D Baylis, Chesley Wells, Danielle Babbel
BACKGROUND: Medical hospitalizations are relatively common among individuals who have substance use disorders (SUDs) and represent opportunities for patient engagement and treatment. Posthospitalization transitions of care are an important element of providing full-spectrum inpatient SUD care; however, little is known about clinicians' experiences with postdischarge care transitions. METHODS: We conducted a cross-sectional study surveying hospital-based medical clinicians (ie, "hospitalists") across 2 large health systems in the state of Utah to assess current practices, barriers, facilitators, and perceptions toward posthospitalization care transitions for patients with SUDs...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38493027/transition-from-pediatric-to-adult-healthcare-for-colorectal-conditions-a-systematic-review
#6
REVIEW
Emma J Moore, Susan M Sawyer, Sebastian K King, Melissa Y Tien, Misel Trajanovska
BACKGROUND: Despite surgical advances for complex congenital colorectal conditions, such as anorectal malformation (ARM) and Hirschsprung disease (HD), many adolescents require transfer from specialist pediatric to adult providers for ongoing care. METHODOLOGY: A systematic review of PubMed, MEDLINE and Embase was conducted to identify what is known about the transitional care of patients with ARM and HD (PROSPERO # CRD42022281558). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework guided our reporting of studies that focused on the transition care of 10-30-year-olds with ARM and HD...
February 23, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38492580/investing-in-bereavement-care-as-a-public-health-priority
#7
REVIEW
Wendy G Lichtenthal, Kailey E Roberts, Leigh A Donovan, Lauren J Breen, Samar M Aoun, Stephen R Connor, William E Rosa
Morbidity and mortality associated with bereavement is an important public health issue, yet economic and resource investments to effectively implement and sustain integrated bereavement services are sorely lacking at national and global levels. Although bereavement support is a component of palliative care provision, continuity of care for bereaved individuals is often not standard practice in palliative and end-of-life contexts. In addition to potentially provoking feelings of abandonment, failure to extend family-centred care after a patient's death can leave bereaved families without access to crucial psychosocial support and at risk for illnesses that exacerbate the already substantial public health toll of interpersonal loss...
March 13, 2024: Lancet. Public Health
https://read.qxmd.com/read/38491738/engaging-patients-in-designing-a-transmural-allied-health-pathway-a-qualitative-exploration-of-hospital-to-home-transitions
#8
JOURNAL ARTICLE
Juul W M van Grootel, Romain J Collet, Mel E Major, Suzanne Wiertsema, Hanneke van Dongen, Marike van der Leeden, Edwin Geleijn, Raymond Ostelo, Marike van der Schaaf
INTRODUCTION: The transition from hospital to home is often suboptimal, resulting in patients not receiving the necessary allied healthcare after discharge. This may, in turn, lead to delayed recovery, a higher number of readmissions, more emergency department visits and an increase in mortality and healthcare costs. This study aimed to gain insight into patients' experiences, perceptions, and needs regarding hospital-to-home transition, focusing on allied healthcare as a first step towards the development of a transitional integrated allied healthcare pathway for patients with complex care needs after hospital discharge...
April 2024: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://read.qxmd.com/read/38491544/generative-ai-in-healthcare-an-implementation-science-informed-translational-path-on-application-integration-and-governance
#9
REVIEW
Sandeep Reddy
BACKGROUND: Artificial intelligence (AI), particularly generative AI, has emerged as a transformative tool in healthcare, with the potential to revolutionize clinical decision-making and improve health outcomes. Generative AI, capable of generating new data such as text and images, holds promise in enhancing patient care, revolutionizing disease diagnosis and expanding treatment options. However, the utility and impact of generative AI in healthcare remain poorly understood, with concerns around ethical and medico-legal implications, integration into healthcare service delivery and workforce utilisation...
March 15, 2024: Implementation Science: IS
https://read.qxmd.com/read/38482851/experience-of-transitional-care-among-thai-isan-older-stroke-survivors-and-their-family-caregivers
#10
JOURNAL ARTICLE
Supavadee Thiengtham, Lenny Chiang-Hanisko, Deborah D'Avolio, Wanapa Sritanyarat
The transitional care model for people who have suffered brain injuries is a relatively recent addition to the Thai healthcare system. The aim of this study was to explore experience of Thai Isan older stroke survivors and their family caregivers across different points of transition from hospital to home. Fifteen dyads of older stroke survivors and their family caregivers were recruited following the inclusion and exclusion criteria. Data were collected through participant observations and semi-structured interviews...
March 14, 2024: Qualitative Health Research
https://read.qxmd.com/read/38482085/pilot-study-on-safe-score-a-novel-quantitative-metric-for-evaluation-of-patient-well-being-in-crawfurd-hospital-transitional-care-facility-cfh-tcf
#11
JOURNAL ARTICLE
Lee J W Desmond, Kweh R H Clement, Chan T T Kevin, Sng Z Ben, Chong C C Wilson
Crawfurd Hospital (CFH) set up a Transitional Care Facility (TCF) in November 2022 as an interim holding facility for medically stable patients awaiting a long-term discharge disposition. The team invented the SAFE score, to monitor 4 main domains commonly impacted in long-term stays - namely Skin, Action (Behaviour), Function and Emotion. A sample size of 50 patients met the inclusion criteria and were scored by the nurses on day 7, day 14, and monthly thereafter during their TCF stay, and once more within 72 h prior to their discharge...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38481274/measuring-the-quality-of-transitional-care-based-on-elderly-patients-experiences-with-the-partners-at-care-transitions-measure-a-cross-sectional-survey
#12
JOURNAL ARTICLE
La-Mei Liu, Meng-Yao Zhuansun, Tong-Yao Xu, Yu-Meng Qian, Hui-Qin Zhang, Qi-Han Zhang, Yi-Zhen Zhang
BACKGROUND: The quality of transitional care is closely related to the health outcomes of patients, and understanding the status of transitional care for patients is crucial to improving the health outcomes of patients. Therefore, this study aims to investigate the quality of transitional care in elderly patients with chronic diseases and analyze its influencing factors, to provide a basis for improving transitional care services. METHODS: This is a cross-sectional study...
March 14, 2024: BMC Nursing
https://read.qxmd.com/read/38476501/impact-of-pharmacist-supported-transition-of-care-services-in-the-middle-east-and-north-africa-a-systematic-review-and-meta-analysis
#13
REVIEW
Eman N Alhmoud, Safa Farooq Fouad Alrawi, Rasha El-Enany, Mohamed Izham Mohamed Ibrahim, Muhammad Abdul Hadi
BACKGROUND: Transition of care (TOC) is associated with an increased risk of medication-related problems. Despite recent advancements in pharmacy practice and research in the Middle East and North Africa (MENA), the characteristics and impact of regional pharmacy-supported TOC interventions remain unclear.This systematic review and meta-analysis aimed to describe pharmacist-supported TOC interventions in the MENA region and evaluate their effectiveness. METHODS: PubMed, CINAHL, EMBASE, Web of Science, World Health Organization's International Clinical Trials Registry Platform (ICTRP) were searched from their inception to March 9, 2023, for experimental studies published in English, comparing pharmacist-supported TOC interventions with usual care for adults (age ≥18 years) discharged from the hospital...
2024: Journal of Pharmaceutical Policy and Practice
https://read.qxmd.com/read/38470656/nursing-interventions-for-client-and-family-training-in-the-proper-use-of-noninvasive-ventilation-in-the-transition-from-hospital-to-community-a-scoping-review
#14
REVIEW
Jéssica Moura Gabirro Fernando, Margarida Maria Gaio Marçal, Óscar Ramos Ferreira, Cleoneide Oliveira, Larissa Pedreira, Cristina Lavareda Baixinho
Noninvasive ventilation is an increasingly disseminated therapeutic option, which is explained by increases in the prevalence of chronic respiratory diseases, life expectancy, and the effectiveness of this type of respiratory support. This literature review observes that upon returning home after hospital discharge, there are difficulties in adhering to and maintaining this therapy. The aim of this study is to identify nursing interventions for client and family training in the proper use of noninvasive ventilation in the transition from hospital to community...
February 25, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38468202/-it-s-a-stressful-trying-time-for-the-caretaker-an-interpretive-description-qualitative-study-of-postoperative-transitions-in-care-for-older-adults-with-frailty-from-the-perspectives-of-informal-caregivers
#15
JOURNAL ARTICLE
Emily Hladkowicz, Mohammad Auais, Gurlavine Kidd, Daniel I McIsaac, Jordan Miller
BACKGROUND: Older adults with frailty have surgery at a high rate. Informal caregivers often support the postoperative transition in care. Despite the growing need for family and caregiver support for this population, little is known about the experience of providing informal care to older adults with frailty during the postoperative transition in care. The purpose of this study was to explore what is important during a postoperative transition in care for older adults with frailty from the perspective of informal caregivers...
March 11, 2024: BMC Geriatrics
https://read.qxmd.com/read/38450810/effects-of-transitional-care-interventions-on-quality-of-life-in-people-with-lung-cancer-a-systematic-review-and-meta-analysis
#16
REVIEW
Yan-Yan Liu, Yong Zhao, Ying-Ying Yin, Hui-Ping Cao, Han-Bing Lu, Ya-Jie Li, Jiao Xie
AIM: To identify and appraise the quality of evidence of transitional care interventions on quality of life in lung cancer patients. BACKGROUND: Quality of life is a strong predictor of survival. The transition from hospital to home is a high-risk period for patients' readmission and death, which seriously affect their quality of life. DESIGN: Systematic review and meta-analysis. METHODS: The PubMed, Embase, Cochrane Library, Web of Science and CINAHL databases were searched from inception to 22 October 2022...
March 7, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38450770/the-midwife-s-support-during-transition-to-motherhood-a-modified-delphi-study-among-care-providers-and-childbearing-women
#17
JOURNAL ARTICLE
Yvonne J Kuipers, Natacha Van de Craen, Laura Van den Branden, Eveline Mestdagh
OBJECTIVE: To reach consensus between care providers and childbearing women about the midwife's relevant and appropriate domains and elements to support transition to motherhood. METHODS: A modified web-based Delphi study was conducted in Flanders (Belgium). After performing a systematic literature review, searching the grey literature and an online poll, a set of 79 items was generated. In two rounds, the items were presented to an expert panel of (1) care providers from various disciplines providing services to childbearing women and (2) to pregnant women and postpartum women up to 1-year postpartum...
March 7, 2024: Scandinavian Journal of Caring Sciences
https://read.qxmd.com/read/38450298/breathing-across-ages-a-systematic-review-on-challenges-and-components-of-transitional-care-for-young-people-with-asthma
#18
REVIEW
Luna Antonino, Kim Van Hoorenbeeck, Josefien van Olmen, Yaël Vanharen, Natwarin Janssens, Stijn Verhulst, Eva Goossens
INTRODUCTION: Asthma is a chronic condition that affects millions of adolescents and young adults (AYA) worldwide. The transition from pediatric to adult care presents unique challenges for this population, affecting their self-management, quality of life and overall health outcomes. This systematic review aims to consolidate the available evidence on challenges encountered by AYA with asthma during the transition period from child to AYA and on the key elements of transitional care for AYAs with asthma including the outcomes achieved, ultimately enhancing outcomes...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38449395/-task-sharing-and-task-shifting-between-oncologists-and-primary-care-physicians
#19
JOURNAL ARTICLE
Teruhisa Azuma
The life that a person with cancer leads is called the cancer journey. As cancer treatment advances and specialization progresses, a trend toward integrating each specialty from the perspective of the cancer journey is emerging. In this paper, we consider task-sharing and task-shifting from the perspective of integrating oncology and primary care. Although oncologists and primary care physicians have different specialties, we believe that task-sharing and task-shifting can be achieved and lead to smooth transitional care by strengthening collaboration and sharing knowledge and experience, while taking advantage of their respective characteristics as medical professionals working with people with cancer...
February 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38448831/older-adults-experience-of-transition-to-the-community-from-the-emergency-department-a-qualitative-evidence-synthesis
#20
JOURNAL ARTICLE
Brian Condon, Anne Griffin, Christine Fitzgerald, Elaine Shanahan, Liam Glynn, Margaret O'Connor, Christina Hayes, Molly Manning, Rose Galvin, Aoife Leahy, Katie Robinson
AIM: Older adults comprise a growing proportion of Emergency Department (ED) attendees and are vulnerable to adverse outcomes following an ED visit including ED reattendance within 30 days. Interventions to reduce older adults' risk of adverse outcomes following an ED attendance are proliferating and often focus on improving the transition from the ED to the community. To optimise the effectiveness of interventions it is important to determine how older adults experience the transition from the ED to the community...
March 6, 2024: BMC Geriatrics
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