Journal article
Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement
Academic emergency medicine, Vol.28(12), pp.1430-1439
12/2021
DOI: 10.1111/acem.14360
PMCID: PMC8725618
PMID: 34328674
Abstract
Objectives Individual-level social needs have been shown to substantially impact emergency department (ED) care transitions of older adults. The Geriatric Emergency care Applied Research (GEAR) Network aimed to identify care transition interventions, particularly addressing social needs, and prioritize future research questions. Methods GEAR engaged 49 interdisciplinary stakeholders, derived clinical questions, and conducted searches of electronic databases to identify ED discharge care transition interventions in older adult populations. Informed by the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) framework, data extraction and synthesis of included studies included the degree that intervention components addressed social needs and their association with patient outcomes. GEAR convened a consensus conference to identify topics of highest priority for future care transitions research. Results Our search identified 248 unique articles addressing care transition interventions in older adult populations. Of these, 17 individual care transition intervention studies were included in the current literature synthesis. Overall, common care transition interventions included coordination efforts, comprehensive geriatric assessments, discharge planning, and telephone or in-person follow-up. Fourteen of the 17 care transition intervention studies in older adults specifically addressed at least one social need within the PRAPARE framework, most commonly related to access to food, medicine, or health care. No care transition intervention addressing social needs in older adult populations consistently reduced subsequent health care utilization or other patient-centered outcomes. GEAR stakeholders identified that determining optimal outcome measures for ED-home transition interventions was the highest priority area for future care transitions research. Conclusions ED care transition intervention studies in older adults frequently address at least one social need component and exhibit variation in the degree of success on a wide array of health care utilization outcomes.
Details
- Title: Subtitle
- Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement
- Creators
- Cameron J. Gettel - Yale UniversityCorrine Voils - University of Wisconsin–MadisonAlycia A. Bristol - University of UtahLynne D. Richardson - Mount Sinai Health SystemTeresita M. Hogan - University of ChicagoAbraham A. Brody - John A. Hartford FoundationMicaela N. Gladney - Durham VA Health Care SystemJoe Suyama - University of PittsburghLuna C. Ragsdale - Durham VA Health Care SystemChristine L. Binkley - University of North Carolina at Chapel HillCarmen L. Morano - Albany State UniversityJustine Seidenfeld - Duke UniversityNada Hammouda - Icahn School of Medicine at Mount SinaiKelly J. Ko - West HealthUla Hwang - Yale UniversitySusan N. Hastings - Durham VA Health Care SystemGEAR NetworkJay R Kayser (Contributor) - School of Social Work
- Resource Type
- Journal article
- Publication Details
- Academic emergency medicine, Vol.28(12), pp.1430-1439
- DOI
- 10.1111/acem.14360
- PMID
- 34328674
- PMCID
- PMC8725618
- NLM abbreviation
- Acad Emerg Med
- ISSN
- 1069-6563
- eISSN
- 1553-2712
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- Yale National Clinician Scholars Program RCS 14-443 / Research Career Scientist award from the Health Services Research & Development service of the U.S. Department of Veterans Affairs (DVA); US Department of Veterans Affairs CIN 13-410 / Center of Innovation to Accelerate Discovery and Practice Transformation at the Durham VA Health Care System TL1 TR00864 / CTSA from the National Center for Advancing Translational Science (NCATS), National Institutes of Health (NIH) John A Hartford Foundation Gary and Mary West Health Institute R21AG058926 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Language
- English
- Date published
- 12/2021
- Academic Unit
- School of Social Work
- Record Identifier
- 9985223620302771
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