Building a Digital Bridge to Support Patient-Centered Care Transitions From Hospital to Home for Older Adults With Complex Care Needs: Protocol for a Co-Design, Implementation, and Evaluation Study.

ABSTRACT:

Background

Older adults with multimorbidity and complex care needs (CCN) are among those most likely to experience frequent care transitions between settings, particularly from hospital to home. Transition periods mark vulnerable moments in care for individuals with CCN. Poor communication and incomplete information transfer between clinicians and organizations involved in the transition from hospital to home can impede access to needed support and resources. Establishing digitally supported communication that enables person-centered care and supported self-management may offer significant advantages as we support older adults with CCN transitioning from hospital to home.

Objective

This protocol outlines the plan for the development, implementation, and evaluation of a Digit

SUBMITTER: Steele Gray C 

PROVIDER: S-EPMC7725647 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature