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  • Care transition types across acute, sub-acute and primary care: Case studies of older people with complex conditions and their carers

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    FosterPUB212.pdf (147.6Kb)
    Author(s)
    Harvey, Desley
    Foster, Michele
    Quigley, Rachel
    Strivens, Edward
    Griffith University Author(s)
    Foster, Michele M.
    Quigley, Rachel
    Year published
    2018
    Metadata
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    Abstract
    Purpose The purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements. Design/methodology/approach A longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared. Findings Three types of care transitions were derived from the analysis: manageable, ...
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    Purpose The purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements. Design/methodology/approach A longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared. Findings Three types of care transitions were derived from the analysis: manageable, unstable and disrupted. Each type had distinguishing characteristics and older people could experience elements of all types across the system. Transition types varied according to personal and systemic factors. Originality/value This study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole.
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    Journal Title
    Journal of Integrated Care
    Volume
    26
    Issue
    3
    DOI
    https://doi.org/10.1108/JICA-12-2017-0047
    Copyright Statement
    © Emerald Publishing Limited 1476-9018 Access to this document was granted through an Emerald subscription provided by emeraldsrm:330691 []
    Subject
    Policy and administration
    Policy and administration not elsewhere classified
    Australia
    Older people
    Care transitions
    Case study design
    Sub-acute care
    Publication URI
    http://hdl.handle.net/10072/381794
    Collection
    • Journal articles

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