Odense University Hospital, Odense, Denmark.
University of Southern Denmark, Odense, Denmark.
BMC Health Serv Res. 2024 Sep 30;24(1):1155. doi: 10.1186/s12913-024-11609-5.
Transitions in healthcare settings can be a challenge for patients and they express a need for guidance and support to cope with these transitions. The aim of this scoping review was to investigate if interventions can improve patients' experiences when transitioning between healthcare settings.
This review was conducted following the Johanna Briggs Institute's methods and reported according to the PRISMA-ScR Checklist. Included articles were published and peer-reviewed, and reported qualitative and quantitative findings on patient experiences with interventions when transitioning between healthcare settings. The search was conducted in May 2024 in Medline Ovid, Embase Ovid, and Cinahl.
Twenty-three studies were included. Factors extracted from the studies were: author(s), year of publication, country of origin, study design, theoretical methods, population description, intervention, phenomena of interest(s), and key findings. There has been an increase in published studies on the subject in the last few years, and most of the included studies originated from Western countries. Most studies were quantitative, primarily RCTs, and the theoretical methods were thus mainly statistical analysis. The study populations were found to be heterogeneous. The interventions were categorized: care coordinator, program, integrated care, online communication platform, coaching, discharge care plan, and miscellaneous interventions.
Overall, interventions were found to improve the patient experience. Centralization of healthcare has increased the number of transitions, and patients express that the coordination of healthcare transitions can be improved. This review's findings should be used alongside other research on interventions' effect on factors like hospital readmissions and mortality to determine the optimal intervention to implement.
医疗环境的转变对患者来说可能是一个挑战，他们表示需要指导和支持来应对这些转变。本综述的目的是调查干预措施是否可以改善患者在医疗环境之间过渡时的体验。
本综述按照约翰娜·布里格斯研究所的方法进行，并根据 PRISMA-ScR 清单进行报告。纳入的文章是已发表并经过同行评审的，报告了关于患者在医疗环境之间过渡时干预措施体验的定性和定量发现。检索于 2024 年 5 月在 Medline Ovid、Embase Ovid 和 Cinahl 进行。
共纳入 23 项研究。从研究中提取的因素包括：作者、发表年份、来源国、研究设计、理论方法、人群描述、干预措施、感兴趣的现象以及主要发现。近年来，关于该主题的发表研究有所增加，大多数纳入的研究来自西方国家。大多数研究是定量的，主要是 RCT，因此理论方法主要是统计分析。研究人群存在异质性。干预措施分为：护理协调员、方案、综合护理、在线沟通平台、辅导、出院护理计划和其他干预措施。
总体而言，干预措施被发现可以改善患者体验。医疗中心化增加了转变的数量，患者表示可以改善医疗转变的协调。本综述的结果应与干预措施对住院率和死亡率等因素影响的其他研究一起使用，以确定实施的最佳干预措施。
