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

Ann E.M. Liljas, Jutta Pulkki, Natasja K. Jensen, Esa Jämsen, Bo Burström, Ingelise Andersen, Ilmo Keskimäki, Janne Agerholm

Research output: Contribution to journalArticleScientificpeer-review

4 Citations (Scopus)
13 Downloads (Pure)

Abstract

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.

Original languageEnglish
JournalSCANDINAVIAN JOURNAL OF PUBLIC HEALTH
DOIs
Publication statusE-pub ahead of print - 2022
Publication typeA1 Journal article-refereed

Keywords

  • Ageing
  • care continuity
  • care systems
  • care transitions
  • health services research
  • hospital discharge
  • older adults

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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