Nelson Michelle L A, Saragosa Marianne, Singh Hardeep, Yi Juliana
Lunenfeld-Tanenbaum Research Institute, Sinai Health System, CA.
Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CA.
Int J Integr Care. 2024 Feb 29;24(1):16. doi: 10.5334/ijic.7670. eCollection 2024 Jan-Mar.
With increasing attention to models of transitional support delivered through multisectoral approaches, third-sector organizations (TSOs) have supported community reintegration and independent living post-hospitalization. This study aimed to identify the core elements of these types of programs, the facilitators, and barriers to service implementation and to understand the perspectives of providers and recipients of their experiences with the programs.
A collective case study collected data from two UK-based 'Home from Hospital' programs. An inductive thematic analysis generated rich descriptions of each program, and analytical activities generated insights across the cases.
Programs provided a range of personalized support for older adults and addressed many post-discharge needs, including well-being assessments, support for instrumental activities of daily living, psychosocial support, and other individualized services directed by the needs and preferences of the service user. Results suggest that these programs can act as a 'safety net' and promote independent living. Skilled volunteers can positively impact older adults' experience returning home.
When the programs under study are considered in tandem with existing evidence, it facilitates a discussion of how TSO services could be made available more widely to support older adults in their transition experiences.
随着对通过多部门方法提供过渡性支持模式的关注度不断提高，第三部门组织（TSO）为社区重新融入及出院后的独立生活提供了支持。本研究旨在确定这类项目的核心要素、促进因素及服务实施的障碍，并了解服务提供者和接受者对其项目体验的看法。
一项集体案例研究收集了来自英国两个“医院到家”项目的数据。归纳主题分析对每个项目进行了丰富描述，分析活动则产生了跨案例的见解。
这些项目为老年人提供了一系列个性化支持，满足了许多出院后的需求，包括健康评估、日常生活工具性活动支持、心理社会支持以及根据服务使用者的需求和偏好提供的其他个性化服务。结果表明，这些项目可充当“安全网”并促进独立生活。熟练的志愿者能对老年人回家的体验产生积极影响。
将所研究的项目与现有证据结合考虑，有助于讨论如何更广泛地提供TSO服务，以支持老年人的过渡体验。
