Opportunities for transitional care and care continuity following hospital discharge of older people in three Nordic cities: A comparative study.

Autor:	Liljas AEM; Department of Global Public Health, Karolinska Institutet, Sweden., Pulkki J; Faculty of Social Sciences, Tampere University, Finland., Jensen NK; Department of Public Health, Copenhagen University, Denmark., Jämsen E; Gerontology Research Centre (GEREC), Tampere, Finland.; Faculty of Medicine and Health Technology, Tampere University, Finland.; Centre of Geriatrics, Tampere University Hospital, Finland., Burström B; Department of Global Public Health, Karolinska Institutet, Sweden., Andersen I; Department of Public Health, Copenhagen University, Denmark., Keskimäki I; Faculty of Social Sciences, Tampere University, Finland.; Finnish Institute for Health and Welfare, Helsinki, Finland., Agerholm J; Department of Global Public Health, Karolinska Institutet, Sweden.
Jazyk:	angličtina
Zdroj:	Scandinavian journal of public health [Scand J Public Health] 2024 Feb; Vol. 52 (1), pp. 5-9. Date of Electronic Publication: 2022 Sep 15.
DOI:	10.1177/14034948221122386
Abstrakt:	Aim: To outline and discuss care transitions and care continuity following hospital discharge of older people with complex care needs in three Nordic cities: Copenhagen, Tampere and Stockholm. Methods: Data on potential pathways following hospital discharge of older people were obtained from existing literature and expert consultations. The pathways for each system were outlined and presented in three figures. The hospital discharge process of the systems was then compared. Results: In all three care systems, the main care path from hospital is to home. Short-term intermediate healthcare can be provided in all three systems, possibly creating additional care transitions; however, once home, extensive home healthcare may prevent further care transitions. Opportunities for continuity of care include needs assessments (all cities) and meetings with the patient about care upon return home (Copenhagen, Stockholm). Yet this is challenged by lack of transfer of information (Tampere) and patients' having to apply for some services themselves (Tampere, Stockholm). Conclusions: Comparisons of the discharge processes studied suggest that despite individual care planning and short- and long-term care options, transitional care and care continuity are challenged by limited access as some services need to be applied for by the older person themselves. Competing Interests: Declaration of conflicting interestsThe authors have no conflicts of interest to declare.
Databáze:	MEDLINE
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