Affiliation:
1. University of Pennsylvania School of Nursing Philadelphia Pennsylvania USA
Abstract
AbstractIntroductionHigh rates of hospital visits and readmissions are common among persons living with dementia, resulting in frequent transitions in care and care coordination. This paper identifies and evaluates existing measures of transitions and care coordination for persons living with dementia and their caregivers.MethodsThis integrative review builds off a prior review using a systematic search of online databases (PubMed, EBSCO, CINAHL, PsycInfo, and Scopus) to identify records and locate reports (or articles) that use measures of care transitions and care coordination. Identified measures were compared to the Alzheimer's Association's Dementia Care Practice Recommendations to evaluate strengths and weaknesses of the measure in this population, such as if measures were person‐ and family‐centered.ResultsSeventy‐one reports using measures of transitions in care and care coordination for persons living with dementia and their caregivers were identified. There were multiple measures identified in some reports. Three main areas of measures were classified into: identification of the population (3 measures, 8 reports), transitional care and care coordination delivery (14 measures, 17 reports), and transitional care and care coordination outcomes (e.g., health‐care use, cost, and mortality; 17 measures, 60 reports). A strength of the three main areas of measures was that a portion of the measures were person‐ and family‐centered. Variability in the operational definitions of some measures and time intensiveness of collecting the measure (e.g., number of items, the time it takes to complete the items) were common weaknesses.DiscussionTransitions and care coordination measures are varied across studies targeted at persons living with dementia and their caregivers. Existing measures focus heavily on outcomes, specifically health‐care resource use, and cost, rather than the elements of transitional care or care coordination. Future measure development focused on care transitions and service coordination is needed.
Subject
Psychiatry and Mental health,Neurology (clinical)
Reference93 articles.
1. 2022 Alzheimer's disease facts and figures
2. U.S. Centers for Medicare & Medicaid Services.Co‐morbidity among Chronic Conditions for Medicare FFS Beneficiaries: 2018 (Figure 15). CMS. Accessed March 31 2021.https://www.cms.gov/Research‐Statistics‐Data‐and‐Systems/Statistics‐Trends‐and‐Reports/Chronic‐Conditions/Chartbook_Charts
3. U.S. Center for Medicare & Medicare Services.State Level Chronic Conditions Table: Prevalence Medicare Utilization and Spending 2007‐2018. CMS. Accessed March 31 2021.https://www.cms.gov/Research‐Statistics‐Data‐and‐Systems/Statistics‐Trends‐and‐Reports/Chronic‐Conditions/CC_Main
4. The Fundamentals of Person-Centered Care for Individuals With Dementia
5. What is care coordination?
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