Brown Cara L, Menec Verena
Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba.
Can J Aging. 2018 Jun;37(2):145-170. doi: 10.1017/S0714980818000065. Epub 2018 Apr 10.
ABSTRACTIntegrated care is a promising approach for improving care transitions for older adults, but this concept is inconsistently defined and applied. This scoping review describes the size and nature of literature on integrated care initiatives for transitions from hospital to community care for older adults (aged 65 and older) and how this literature conceptualizes integrated care. A systematic search of literature from the past 10 years yielded 899 documents that were screened for inclusion by two reviewers. Of the 48 included documents, there were 26 journal articles and 22 grey literature documents. Analysis included descriptive statistics and a content analysis approach to summarize features of the integrated care initiatives. Results suggest that clinical and service delivery integration is being targeted rather than integration of funding, administration, and/or organization. To promote international comparison of integrated care initiatives aiming to improve care transitions, detailed descriptions of organizational context are also needed.
摘要
综合照护是改善老年人护理过渡的一种有前景的方法,但这一概念的定义和应用并不一致。本范围综述描述了关于65岁及以上老年人从医院到社区护理过渡的综合照护举措的文献规模和性质,以及该文献如何对综合照护进行概念化。对过去10年的文献进行系统检索,得到899份文献,由两名评审员筛选以确定是否纳入。在纳入的48份文献中,有26篇期刊文章和22份灰色文献。分析包括描述性统计和内容分析方法,以总结综合照护举措的特征。结果表明,目前针对的是临床和服务提供的整合,而非资金、管理和/或组织的整合。为了促进旨在改善护理过渡的综合照护举措的国际比较,还需要对组织背景进行详细描述。