Objectives To identify and synthesise available evidence on the impact of transitional care
interventions with both predischarge and postdischarge elements on readmission rates in …

Abstract Background/Objectives Older adults are at high risk for adverse outcomes as they
transition from hospital to home. Transitional care interventions primarily focus on care …

Background and aim Intermediate care describes services, including transitional care, that
support the needs of middle-aged and older adults during care transitions and between …

Background Although it is often recommended that general practitioners (GPs) initiate
advance care planning (ACP), little is known about their experiences with ACP. This study …

Importance Virtual wards (VWs) include patient assessment in their homes by health care
personnel and offer ongoing assessment and case management via home, telephone …

La valoración geriátrica integral (VGI) es un instrumento gue permite, dentro de la
valoración clínica del paciente adulto mayor, integrar los conocimientos de las esferas …

In many integrated care programs, a comprehensive geriatric assessment (CGA) is
conducted to identify older people's problems and care needs. Different ways for conducting …

Objective: to summarize and analyze the scientific production on care transition in the
hospital discharge of adult patients. Method: integrative review, conducted from May to July …

Background after hospitalisation for cardiac disease, older patients are at high risk of
readmission and death. Objective the cardiac care bridge (CCB) transitional care …

Background Older people are at high risk of falls after hospital discharge. The study aimed to
evaluate the effect of providing individualized falls prevention education in addition to usual …