Interventions to minimise hospital winter pressures related to discharge planning and integrated care: a rapid mapping review of UK evidence
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View abstract on PubMed
Summary
This summary is machine-generated.This review examines UK interventions for hospital winter pressures, focusing on discharge planning and integrated care. While "discharge to assess" and "hospital at home" are effective, many initiatives lack robust evidence and long-term impact studies.
Area Of Science
- Health Services Research
- Public Health Policy
- Integrated Care Systems
Background
- Winter pressures significantly strain UK health and social care services.
- The hospital discharge process to community and social care is a critical bottleneck.
- Existing research on discharge interventions needs to specifically address 'winter pressures'.
Purpose Of The Study
- To map interventions and initiatives responding to UK hospital winter pressures.
- To focus on discharge planning for 'smart discharge' and integrated care models.
- To identify evidence gaps in interventions for winter-related discharge challenges.
Main Methods
- A mapping review of UK evidence published between 2018 and 2022.
- Searches across multiple databases (MEDLINE, HMIC, etc.) and Google Scholar.
- Development of a taxonomy of intervention types and patient pathway stages.
Main Results
- Few interventions were explicitly designed for winter pressures.
- "Discharge to assess" and "hospital at home" interventions are well-supported.
- Many widely used interventions rely on limited evidence and lack long-term impact data.
Conclusions
- There's a need for interventions considering patient and provider needs for delayed discharge.
- Evaluating interventions requires a whole-system approach to avoid shifting problems.
- Further research using realist reviews and whole-system evaluation is recommended.
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