Hospital-Community Partnerships to Aid Transitions for Older Adults

Hung, Dorothy; Yakir, Maayan; Nicosia, Francesca

doi:10.1097/ncq.0000000000000294

Cited by 7 publications

(1 citation statement)

References 19 publications

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“…In contrast, certain US federal, outpatient based readmission interventions (such as the Community-based Care Transitions program) create partnerships between hospital and community providers to reduce readmissions exclusively for Medicare beneficiaries aged 65 years or over. 26 27 Moreover, most US readmission policies with financial penalties target people aged 65 years and over. 2 In contrast, readmission policies for adults in other countries, including the UK, Denmark, and Germany, do not exempt specific ages.…”

Section: Discussionmentioning

confidence: 99%

Age trends in 30 day hospital readmissions: US national retrospective analysis

Berry

Gay

Maddox

et al. 2018

BMJ

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ObjectiveTo assess trends in and risk factors for readmission to hospital across the age continuum.DesignRetrospective analysis.Setting and participants31 729 762 index hospital admissions for all conditions in 2013 from the US Agency for Healthcare Research and Quality Nationwide Readmissions Database.Main outcome measure30 day, all cause, unplanned hospital readmissions. Odds of readmission were compared by patients’ age in one year epochs with logistic regression, accounting for sex, payer, length of stay, discharge disposition, number of chronic conditions, reason for and severity of admission, and data clustering by hospital. The middle (45 years) of the age range (0-90+ years) was selected as the age reference group.ResultsThe 30 day unplanned readmission rate following all US index admissions was 11.6% (n=3 678 018). Referenced by patients aged 45 years, the adjusted odds ratio for readmission increased between ages 16 and 20 years (from 0.70 (95% confidence interval 0.68 to 0.71) to 1.04 (1.02 to 1.06)), remained elevated between ages 21 and 44 years (range 1.02 (1.00 to 1.03) to 1.12 (1.10 to 1.14)), steadily decreased between ages 46 and 64 years (range 1.02 (1.00 to 1.04) to 0.91 (0.90 to 0.93)), and decreased abruptly at age 65 years (0.78 (0.77 to 0.79)), after which the odds remained relatively constant with advancing age. Across all ages, multiple chronic conditions were associated with the highest adjusted odds of readmission (for example, 3.67 (3.64 to 3.69) for six or more versus no chronic conditions). Among children, young adults, and middle aged adults, mental health was one of the most common reasons for index admissions that had high adjusted readmission rates (≥75th centile).ConclusionsThe likelihood of readmission was elevated for children transitioning to adulthood, children and younger adults with mental health disorders, and patients of all ages with multiple chronic conditions. Further attention to the measurement and causes of readmission and opportunities for its reduction in these groups is warranted.

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Section: Discussionmentioning

confidence: 99%

Age trends in 30 day hospital readmissions: US national retrospective analysis

Berry

Gay

Maddox

et al. 2018

BMJ

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Exploring the Efficacy of Social Work Interventions in Hospital Settings: A Scoping Review

Petruzzi

Ewald

Covington

et al. 2022

Social Work in Public Health

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A Citation Review of 83 Dissemination and Implementation Theories, Models, or Frameworks Utilized in U.S.-Based Aging Research

et al. 2022

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Background and objectives Dissemination-implementation.org outlines 110 Theories, Models, and Frameworks (TMFs): we conducted a citation analysis on 83 TMFs, searching Web of Science and PubMed databases. Research design and methods Search terms were broad and included “aging,” “older,” “elderly” and “geriatric.” We extracted how each TMF in identified articles from inception through January 28, 2022. Included articles must have used a TMF in research or quality improvement work directly linked to older adults within the United States. Results We reviewed 2,677 articles of which 295 articles cited at least one of 56 theories, models, and frameworks (TMFs). Five TMFs represented 50% of the citations: Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) 1.0, Consolidated Framework for Implementation Research (CFIR), Greenhalgh Diffusion of Innovation in Service Organizations, Quality Enhancement Research Initiative (QUERI), Community-based Participatory Research (CBPR) and Promoting Action on Research Implementation in Health Services (PARIHS). TMF application varied and there was a steady increase in TMF citations over time, with a 2-to-3-fold increase in citations in 2020-2021. We identified that only 41% of TMF use was meaningful. Discussion and implications Our results suggest TMF utilization is increasing in aging research, but there is a need to more meaningful utilize TMFs. As the population of older adults continues to grow, there will be increasing demand for effective evidence-based practices and models of care to be quickly and effectively translated into routine care. Use of TMFs is critical to building such evidence and to identifying and evaluating methods to support this translation.

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Hospital-Community Partnerships to Aid Transitions for Older Adults

Cited by 7 publications

References 19 publications

Age trends in 30 day hospital readmissions: US national retrospective analysis

Age trends in 30 day hospital readmissions: US national retrospective analysis

Exploring the Efficacy of Social Work Interventions in Hospital Settings: A Scoping Review

A Citation Review of 83 Dissemination and Implementation Theories, Models, or Frameworks Utilized in U.S.-Based Aging Research

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