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SHR Neuro Cancer Cardio Lipid Metab Microb
Sezgin, D; O'Caoimh, R; O'Donovan, MR; Salem, MA; Kennelly, S; Samaniego, LL; Carda, CA; Rodriguez-Acuña, R; Inzitari, M; Hammar, T; Holditch, C; Bettger, JP; Vernon, M; Carroll, Á; Gradinger, F; Perman, G; Wilson, M; Vella, A; Cherubini, A; Tucker, H; Fantini, MP; Onder, G; Roller-Wirnsberger, R; Gutiérrez-Robledo, LM; Cesari, M; Bertoluci, P; Kieliszek, M; van der Vlegel-Brouwer, W; Nelson, M; Mañas, LR; Antoniadou, E; Barriere, F; Lindblom, S; Park, G; Pérez, I; Alguacil, D; Lowdon, D; Alkiza, ME; Bouzon, CA; Young, J; Carriazo, A; Liew, A; Hendry, A; European Union Advantage Joint Action Work Package 7 partners in collaboration with the International Foundation for Integrated Care Special Interest Group on Intermediate Care.
Defining the characteristics of intermediate care models including transitional care: an international Delphi study.
Aging Clin Exp Res. 2020; 32(11):2399-2410
Doi: 10.1007/s40520-020-01579-z
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- Co-authors Med Uni Graz
- Roller-Wirnsberger Regina
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- Abstract:
- Although there is growing utilisation of intermediate care to improve the health and well-being of older adults with complex care needs, there is no international agreement on how it is defined, limiting comparability between studies and reducing the ability to scale effective interventions. To identify and define the characteristics of intermediate care models. A scoping review, a modified two-round electronic Delphi study involving 27 multi-professional experts from 13 countries, and a virtual consensus meeting were conducted. Sixty-six records were included in the scoping review, which identified four main themes: transitions, components, benefits and interchangeability. These formed the basis of the first round of the Delphi survey. After Round 2, 16 statements were agreed, refined and collapsed further. Consensus was established for 10 statements addressing the definitions, purpose, target populations, approach to care and organisation of intermediate care models. There was agreement that intermediate care represents time-limited services which ensure continuity and quality of care, promote recovery, restore independence and confidence at the interface between home and acute services, with transitional care representing a subset of intermediate care. Models are best delivered by an interdisciplinary team within an integrated health and social care system where a single contact point optimises service access, communication and coordination. This study identified key defining features of intermediate care to improve understanding and to support comparisons between models and studies evaluating them. More research is required to develop operational definitions for use in different healthcare systems.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Communication -
- Consensus -
- Delphi Technique -
- Humans -
- Surveys and Questionnaires -
- Transitional Care -
- Find related publications in this database (Keywords)
- Delphi technique
- Definition
- Older adults
- Intermediate care
- Transitional care
- Integrated care
- Care models