A Model Home-Delivered Meals Program to Support Transitions from Hospital to Home
| Autor: | Sherry Marishak-Simon, Jinmyoung Cho, Alan B. Stevens, Lilly Frawley, Jennifer L. Thorud |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Emergency Medical Services
Hospital readmission Nutrition and Dietetics Management intervention business.industry digestive oral and skin physiology Food Services Emergent care Transitional Care Emergency department medicine.disease Home Care Services Patient Readmission Patient Discharge Hospitalization Home delivered meals Health care medicine Humans Hospital utilization Community Health Services Medical emergency Geriatrics and Gerontology business Meals |
| Zdroj: | Journal of Nutrition in Gerontology and Geriatrics. 34:207-217 |
| ISSN: | 2155-1200 2155-1197 |
| DOI: | 10.1080/21551197.2015.1031598 |
| Popis: | Meals On Wheels, Inc. of Tarrant County (MOWI) collaborated with local community-based organizations and hospitals to provide home-delivered meals and an evidence-based medication management intervention as a care transition service. The model program was designed to address risk factors commonly associated with preventable hospital readmissions. MOWI staff provided meals to 121 patients recently discharged from an inpatient hospitalization or emergency department visit from March 2013 through March 2014. A total of 18,010 meals were delivered to the 121 clients. On average, clients received 6.25 meals per week with meal delivery starting, on average, 8.95 days postdischarge. Ninety-three of the 121 clients also elected to receive the HomeMeds program. Client self-report of health care utilization (e.g., hospital readmission) at three months and six months was lower than expected given client characteristics. Positive changes in the Emergent Care Assessment and resolution of medication alerts provide additional evidence of a positive effect of the home-delivered meals program. More research is needed to document the benefits of home-based care supports following hospitalization. |
| Databáze: | OpenAIRE |
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