What is the clinical evidence from this study?

Study design: Systematic Review. Population: Transitions of care (n=54).

What does this research mean for the field?

The existing literature on transitions of care predominantly focuses on hospital settings and relies on re-hospitalization rates, neglecting community care and failing to capture the complex negotiations required by patients and staff. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

What question did this study set out to answer?

The aim is to review literature on transitions of care and explore theoretical frameworks applicable in primary care contexts.

May 16, 2026British Journal of General Practice

Which transitions count? A systematic hermeneutic review of the literature on transitions of care

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Key result

Transitions of care literature heavily favors hospital settings and re-hospitalization rates while neglecting community care.

n=54

Why the study?

Existing research on transitions of care is largely descriptive and lacks theoretical depth, limiting its application across different clinical contexts.

Population

54 included sources on transitions of care with a focus on primary care settings

Design

Systematic hermeneutic review

Authors

NMNicole Mfoafo-M’CarthyUniversity of Oxford SSSara ShawUniversity of Oxford NBNatassia BrenmanUniversity of Oxford

Discussion

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Implication

Hospital-centric metrics overlook community transition complexities; challenges prevailing narratives and supports re-conceptualisation of chronic care outcomes.

Key Points

The aim is to review literature on transitions of care and explore theoretical frameworks applicable in primary care contexts.
Conducted a systematic hermeneutic review of literature with 1640 articles initially identified, narrowing to 54 sources for analysis.
Emphasized analytical reading and interpretation of diverse literature.
Explored current narratives and methodologies surrounding transitions of care.
Findings indicate a predominant focus on hospital transitions, neglecting community-based transitions.
Rehospitalisation rates are insufficient metrics and fail to address complexities in patient care dynamics.
Calls for a reevaluation of methods to better engage with community care settings and the theoretical aspects of transitions.

Study Design

Type

Systematic Review (n=54)

Structured PICO

Population

54 sources from the literature on transitions of care, with a focus on primary care settings

This review highlights the need to re-conceptualise transitions of care beyond hospital-centric models and re-hospitalisation metrics to better address complex community-based chronic care.

Cite This Study

Mfoafo-M’Carthy et al. (2026) conducted a systematic review in Transitions of care (n=54). A systematic hermeneutic review of 54 sources revealed that transitions of care literature predominantly focuses on hospital settings and relies on re-hospitalization rates, neglecting community care.

synapsesocial.com/papers/6a0809d7a487c87a6a40bb1d https://doi.org/10.3399/bjgp26x745281

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Implication

Hospital-centric metrics overlook community transition complexities; challenges prevailing narratives and supports re-conceptualisation of chronic care outcomes.

Which transitions count? A systematic hermeneutic review of the literature on transitions of care

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Which transitions count? A systematic hermeneutic review of the literature on transitions of care

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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