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Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.

Publication ,  Journal Article
Gettel, CJ; Voils, CI; Bristol, AA; Richardson, LD; Hogan, TM; Brody, AA; Gladney, MN; Suyama, J; Ragsdale, LC; Binkley, CL; Morano, CL ...
Published in: Acad Emerg Med
December 2021

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.

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Published In

Acad Emerg Med

DOI

EISSN

1553-2712

Publication Date

December 2021

Volume

28

Issue

12

Start / End Page

1430 / 1439

Location

United States

Related Subject Headings

  • Transitional Care
  • Patient Transfer
  • Patient Discharge
  • Humans
  • Emergency Service, Hospital
  • Emergency Medical Services
  • Emergency & Critical Care Medicine
  • Aged
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
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Gettel, C. J., Voils, C. I., Bristol, A. A., Richardson, L. D., Hogan, T. M., Brody, A. A., … Hastings, S. N. (2021). Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement. Acad Emerg Med, 28(12), 1430–1439. https://doi.org/10.1111/acem.14360
Gettel, Cameron J., Corrine I. Voils, Alycia A. Bristol, Lynne D. Richardson, Teresita M. Hogan, Abraham A. Brody, Micaela N. Gladney, et al. “Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.Acad Emerg Med 28, no. 12 (December 2021): 1430–39. https://doi.org/10.1111/acem.14360.
Gettel CJ, Voils CI, Bristol AA, Richardson LD, Hogan TM, Brody AA, et al. Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement. Acad Emerg Med. 2021 Dec;28(12):1430–9.
Gettel, Cameron J., et al. “Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.Acad Emerg Med, vol. 28, no. 12, Dec. 2021, pp. 1430–39. Pubmed, doi:10.1111/acem.14360.
Gettel CJ, Voils CI, Bristol AA, Richardson LD, Hogan TM, Brody AA, Gladney MN, Suyama J, Ragsdale LC, Binkley CL, Morano CL, Seidenfeld J, Hammouda N, Ko KJ, Hwang U, Hastings SN. Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement. Acad Emerg Med. 2021 Dec;28(12):1430–1439.
Journal cover image

Published In

Acad Emerg Med

DOI

EISSN

1553-2712

Publication Date

December 2021

Volume

28

Issue

12

Start / End Page

1430 / 1439

Location

United States

Related Subject Headings

  • Transitional Care
  • Patient Transfer
  • Patient Discharge
  • Humans
  • Emergency Service, Hospital
  • Emergency Medical Services
  • Emergency & Critical Care Medicine
  • Aged
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services