Interventions to reduce readmissions: can complex adaptive system theory explain the heterogeneity in effectiveness? A systematic review.

ABSTRACT:

Background

Successfully transitioning patients from hospital to home is a complex, often uncertain task. Despite significant efforts to improve the effectiveness of care transitions, they remain a challenge across health care systems. The lens of complex adaptive systems (CAS) provides a theoretical approach for studying care transition interventions, with potential implications for intervention effectiveness. The aim of this study is to examine whether care transition interventions that are congruent with the complexity of the processes and conditions they are trying to improve will have better outcomes.

Methods

We identified a convenience sample of high-quality care transition intervention studies included in a care transition synthesis report by Kansagara and colleagues.

SUBMITTER: Penney LS 

PROVIDER: S-EPMC6260570 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature