Evaluating a transitional care program for the oldest adults: results from the quantitative phase of a mixed-methods study.
In: Quality in Ageing & Older Adults, Jg. 24 (2023), Heft 1/2, S. 19-29
academicJournal
Zugriff:
Purpose: This quantitative phase of a mixed-methods study aims to describe the effect of the Transitional Care Bridge (TCB) programme on functional decline, mortality, health-care utilisation and health outcomes compared to usual care in a regional hospital in the Netherlands. Design/methodology/approach: In a pre- and post-cohort study, patients aged ≥70 years, admitted to the hospital for ≥48 h and discharged home with an Identification of Seniors at Risk score of ≥2, were included. The TCB programme, started before discharge, encompassed six visits by the community nurse (CN). Data were obtained from the hospital registry and by three questionnaires over a three months period, addressing activities of daily living (ADL), self-rated health, self-rated quality of life and health-care utilisation. Findings: In total, 100 patients were enrolled in this study, 50 patients in the TCB group and 50 patients in the usual care group. After three months, 36.7% was dependent on ADL in the TCB group compared to 47.1% in the usual care group. Mean number of visits by the CN in the TCB group was 3.8. Although the TCB group had a lower mortality, this study did not find any statistically significant differences in health outcomes and health-care utilisation. Research limitations/implications: Challenges in the delivery of the programme may have influenced patient outcomes. More research is needed on implementation of evidence-based programmes in smaller research settings. A qualitative phase of the study needs to address these outcomes and explore the perspectives of health professionals and patients on the delivery of the programme. Originality/value: This study provides valuable information on the transitional care programme in a smaller setting. [ABSTRACT FROM AUTHOR]
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Titel: |
Evaluating a transitional care program for the oldest adults: results from the quantitative phase of a mixed-methods study.
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Autor/in / Beteiligte Person: | van der Vlegel-Brouwer, Wilma ; van der Vlegel, Marjolein ; Duckworth, Jean Ellen ; Partington, Hazel ; de Jong, Anneke |
Zeitschrift: | Quality in Ageing & Older Adults, Jg. 24 (2023), Heft 1/2, S. 19-29 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 1471-7794 (print) |
DOI: | 10.1108/QAOA-03-2022-0018 |
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