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

Authors
  • Liljas, Ann E M1
  • Pulkki, Jutta2
  • Jensen, Natasja K3
  • Jämsen, Esa4, 5, 6
  • Burström, Bo1
  • Andersen, Ingelise3
  • Keskimäki, Ilmo2, 7
  • Agerholm, Janne1
  • 1 Department of Global Public Health, Karolinska Institutet, Sweden. , (Sweden)
  • 2 Faculty of Social Sciences, Tampere University, Finland. , (Finland)
  • 3 Department of Public Health, Copenhagen University, Denmark. , (Denmark)
  • 4 Gerontology Research Centre (GEREC), Tampere, Finland. , (Finland)
  • 5 Faculty of Medicine and Health Technology, Tampere University, Finland. , (Finland)
  • 6 Centre of Geriatrics, Tampere University Hospital, Finland. , (Finland)
  • 7 Finnish Institute for Health and Welfare, Helsinki, Finland. , (Finland)
Type
Published Article
Journal
Scandinavian journal of public health
Publication Date
Feb 01, 2024
Volume
52
Issue
1
Pages
5–9
Identifiers
DOI: 10.1177/14034948221122386
PMID: 36113132
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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. 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. 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). 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.

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