Key result
Among hospitalized older adults, 64.4% had at least one geriatric syndrome concern, and the transitional care program experienced a 30.1% rejection rate with home visits occurring an average of 16.5 days post-discharge.
Why the study?
The study was conducted to describe the experience, identify barriers, and suggest improved organizational methods for transitional care from an acute care hospital to home in cooperation with a public health center.
Cross-Sectional (n=45)
No
A transitional care model for older adults in Korea identified high rates of functional immobility and polypharmacy, but faced implementation barriers including high patient rejection rates and delayed home visits.
High geriatric syndrome prevalence and transitional care rejection/delays signal implementation barriers; leaves open optimal program design for older adults.
BACKGROUND: This study aimed to describe the experience of providing older adult patients with transitional care from an acute care hospital to home in cooperation with a public health center, in order to present the barriers to that care and suggest better organizational methods. METHODS: This was a cross-sectional study to show the results of the Geriatric Screening for Care-10 (GSC-10) and outcomes of transitional care. Among 659 hospitalized patients aged 65 years or above who lived in an administrative district, forty-five subjects were enrolled between June 24, 2019 and January 23, 2020. Within 48 hours of admission, using the 10 areas of GSC-10, they were assessed for cognitive impairment, depression, polypharmacy (5 or more medications), functional mobility, dysphagia, malnutrition, pain, and incontinence, and were reassessed before discharge. The transitional care plan (containing the treatment summary, the results of the GSC-10 assessment, and the post-discharge plan) was forwarded to a representative of the public health center, who provided continued disease management and various health care services, such as chronic disease and frailty care, and physical rehabilitation. RESULTS: Of all the participants, 64.4% had more than 1 GSC-10 concern. The most prevalent concerns were functional immobility (35.6%) and polypharmacy (22.2%). About 15.6% of the participants were readmitted to a nursing home or hospital. A total of 38 participants received the transitional care intervention. They received an average of 2.7 administered interventions. However, the rate of rejection was high (30.1%) and patients were visited an average of 16.5 days after discharge. CONCLUSION: Through our experience of providing transitional care from an acute care hospital to home in cooperation with a public health center, we expect that the transitional care suitable for the Korean medical situation could be established and successful.
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Shin et al. (2020) conducted a cross-sectional in Hospitalized older adults (n=45). Transitional care program was evaluated on Geriatric Screening for Care-10 (GSC-10) concerns and transitional care outcomes. Among hospitalized older adults, 64.4% had at least one geriatric syndrome concern, and the transitional care program experienced a 30.1% rejection rate with home visits occurring an average of 16.5 days post-discharge.
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