[Transitional care from hospital to home: how to target the right population?].

Michalski-Monnerat, Carole; Jacquot-Pegeot, Marie-Laure; Rochat, Sylvie; Schmid, Marie-Christine; Maillat Roth, Stéphanie; Chevrey, Nicolas; Toledano, Yaëlle; Jeannot, Jean Gabriel; Donzé, Jacques; Bryant-Lukosius, Denise; Mabire, Cédric (2023). [Transitional care from hospital to home: how to target the right population?]. Revue médicale suisse, 19(847), pp. 2021-2025. Médecine & Hygiène 10.53738/REVMED.2023.19.847.2021

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When patients are discharged from the hospital and return home, they are at risk of adverse events if the continuity of care is broken. So far, the evidence for transitional care models to reduce readmission rates has focused mainly on patients with a single condition. Based on this observation, we identified the population that may benefit the most from the development of a new transitional care model, as part of the INSTEAD project, by consensus between patients and professionals in hospitals and the community. To ensure continuity of care, it is necessary to consider the patients' perception, their understanding of the care plan and changes impacting the home care plan. Interprofessional collaboration is essential to achieve this.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
UniBE Contributor:	Donzé, Jacques
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0025-6749
Publisher:	Médecine & Hygiène
Language:	French
Submitter:	Pubmed Import
Date Deposited:	26 Oct 2023 09:59
Last Modified:	26 Oct 2023 09:59
Publisher DOI:	10.53738/REVMED.2023.19.847.2021
PubMed ID:	37878103
URI:	https://boris.unibe.ch/id/eprint/187453