Title |
Regardless of Age: Incorporating Principles from Geriatric Medicine to Improve Care Transitions for Patients with Complex Needs
|
---|---|
Published in |
Journal of General Internal Medicine, February 2014
|
DOI | 10.1007/s11606-013-2729-1 |
Pubmed ID | |
Authors |
Alicia I. Arbaje, Devan L. Kansagara, Amanda H. Salanitro, Honora L. Englander, Sunil Kripalani, Stephen F. Jencks, Lee A. Lindquist |
Abstract |
With its focus on holistic approaches to patient care, caregiver support, and delivery system redesign, geriatrics has advanced our understanding of optimal care during transitions. This article provides a framework for incorporating geriatrics principles into care transition activities by discussing the following elements: (1) identifying factors that make transitions more complex, (2) engaging care "receivers" and tailoring home care to meet patient needs, (3) building "recovery plans" into transitional care, (4) predicting and avoiding preventable readmissions, and (5) adopting a palliative approach, when appropriate, that optimizes patient and family goals of care. The article concludes with a discussion of practical aspects of designing, implementing, and evaluating care transitions programs for those with complex care needs, as well as implications for public policy. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 33% |
Canada | 1 | 33% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 2 | 67% |
Science communicators (journalists, bloggers, editors) | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 171 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 23 | 13% |
Student > Ph. D. Student | 20 | 12% |
Researcher | 17 | 10% |
Student > Bachelor | 17 | 10% |
Student > Doctoral Student | 12 | 7% |
Other | 33 | 19% |
Unknown | 49 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 37 | 22% |
Nursing and Health Professions | 32 | 19% |
Social Sciences | 23 | 13% |
Psychology | 8 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 2% |
Other | 16 | 9% |
Unknown | 52 | 30% |