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June 25, 2003Journal of Health Services Research & Policy

Interventions to improve access to health and social care after discharge from hospital: a systematic review

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Why the study?

Do interventions combining needs assessment, discharge planning, and implementation facilitation improve access to health and social care for older patients after hospital discharge?

Population

Older patients aged 60 years and over following discharge from acute hospitals, including frail patients

Comparison

Needs assessment methods and patient discharge… vs Services that do not include implementation…

Design

Systematic_review

Authors

SRSuzanne H RichardsCross-Cutting CardiologyJCJoanna CoastAt Bristol

Discussion

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Overview

Integrate implementation facilitation into discharge planning for older adults; confirms needs assessment alone is insufficient.

Structured PICO

Do interventions combining needs assessment, discharge planning, and implementation facilitation improve access to health and social care for older patients after hospital discharge?

P
Population
Older patients aged 60 years and over following discharge from acute hospitals, including frail patients (15 RCTs)
I
Intervention
Needs assessment methods and patient discharge co-ordinator roles, specifically services combining needs assessment, discharge planning, and implementation facilitation
C
Comparator
Services that do not include implementation facilitation
O
Outcome
Referrals to or use of health and social care, mortality, functional health status and disability

Needs assessment alone is insufficient for adequate post-discharge care; it must be combined with services that facilitate the implementation of care plans.

Limitations

  • Heterogeneous interventions and patient groups

Cite This Study

Richards et al. (2003) studied this question.

synapsesocial.com/papers/6a7637764b4bbb4785fbe86dhttps://doi.org/10.1258/135581903322029539
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Discharge interventions for older patients leaving hospital: protocol for a systematic meta-review2016 · 29 citations
  2. 2Interventions aimed at reducing problems in adult patients discharged from hospital to home: a systematic meta-review2007 · 214 citations
  3. 3Community services' involvement in the discharge of older adults from hospital into the community2013 · 15 citations
  4. 4Effectiveness of nursing discharge planning interventions on health-related outcomes in discharged elderly inpatients2016 · 52 citations
  5. 5Systematic review. The effects of supporting discharge from hospital to home in older people2000 · 109 citations