Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.
Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.
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DOI：
10.1111/acem.14360
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Hastings SN
中科院分区：
文献类型：
--
作者：
Gettel CJ;Voils CI;Bristol AA;Richardson LD;Hogan TM;Brody AA;Gladney MN;Suyama J;Ragsdale LC;Binkley CL;Morano CL;Seidenfeld J;Hammouda N;Ko KJ;Hwang U;Hastings SN
个人层面的社会需求已被证明在很大程度上影响老年人的急诊科(ED)护理过渡。老年急救应用研究网络旨在确定护理过渡干预措施，特别是解决社会需求，并确定未来研究问题的优先次序。Gear参与了49个跨学科的利益相关者，得出了临床问题，并对电子数据库进行了搜索，以确定老年人口中的ED出院护理过渡干预措施。在回应和评估患者资产、风险和经历的协议(PRAPARE)框架下，数据提取和纳入研究的综合包括干预成分解决社会需求的程度及其与患者结果的关联。GEAR召集了一次协商一致的会议，以确定未来护理过渡研究的最优先主题。我们的搜索确定了248篇独特的文章，涉及老年人口中的护理过渡干预。在这些研究中，17个个体护理过渡干预研究被纳入当前文献综述。总体而言，共同护理过渡干预措施包括协调努力、全面的老年评估、出院计划和电话或面对面随访。在17项针对老年人的护理过渡干预研究中，有14项具体涉及PRAPARE框架内的至少一种社会需求，最常见的是与获得食品、药品或医疗保健有关的需求。没有针对老年人口社会需求的护理过渡干预措施会持续降低随后的卫生保健利用率或其他以患者为中心的结果。Gear利益攸关方确认，确定ED-Home过渡干预的最佳结果衡量标准是未来护理过渡研究的最优先领域。老年人的急诊护理过渡干预研究经常涉及至少一个社会需求组成部分，并显示出在广泛的卫生保健利用结果上的成功程度的差异。
Individual-level social needs have been shown to substantially impact emergency department (ED) care transitions of older adults. The Geriatric Emergency care Applied Research (GEAR) Network aimed to identify care transition interventions, particularly addressing social needs, and prioritize future research questions. GEAR engaged 49 interdisciplinary stakeholders, derived clinical questions, and conducted searches of electronic databases to identify ED discharge care transition interventions in older adult populations. Informed by the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) framework, data extraction and synthesis of included studies included the degree that intervention components addressed social needs and their association with patient outcomes. GEAR convened a consensus conference to identify topics of highest priority for future care transitions research. Our search identified 248 unique articles addressing care transition interventions in older adult populations. Of these, 17 individual care transition intervention studies were included in the current literature synthesis. Overall, common care transition interventions included coordination efforts, comprehensive geriatric assessments, discharge planning, and telephone or in-person follow-up. Fourteen of the 17 care transition intervention studies in older adults specifically addressed at least one social need within the PRAPARE framework, most commonly related to access to food, medicine, or health care. No care transition intervention addressing social needs in older adult populations consistently reduced subsequent health care utilization or other patient-centered outcomes. GEAR stakeholders identified that determining optimal outcome measures for ED–home transition interventions was the highest priority area for future care transitions research. ED care transition intervention studies in older adults frequently address at least one social need component and exhibit variation in the degree of success on a wide array of health care utilization outcomes.
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DOI：
10.1111/acem.14105
发表时间：
2021-03
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
--
作者：
Benjenk I;DuGoff EH;Jacobsohn GC;Cayenne N;Jones CMC;Caprio TV;Cushman JT;Green RK;Kind AJH;Lohmeier M;Mi R;Shah MN
通讯作者：
Shah MN
影响因子：
3.6
作者：
Davis, Camille, I;Montgomery, Ann Elizabeth;Blosnich, John R.
通讯作者：
Blosnich, John R.
影响因子：
2.8
作者：
Crede, Sarah H.;O'Keeffe, Colin;Whiteside, Mike
通讯作者：
Whiteside, Mike
影响因子：
4.6
作者：
Ballabio, Claudia;Bergamaschini, Luigi;Vergani, Carlo
通讯作者：
Vergani, Carlo
影响因子：
6.2
作者：
Ali, Nissa J.;McWilliams, J. Michael;Smulowitz, Peter B.
通讯作者：
Smulowitz, Peter B.