Assessing Decision-Making Tools for Meaningful Discussions About Transfer Decisions From Long-Term Care to Hospital: A Scoping Review
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View abstract on PubMed
Summary
This summary is machine-generated.Decision support tools for long-term care (LTC) residents transferring to hospitals can reduce hospitalizations and improve communication. However, their varied application necessitates standardized, culturally sensitive interventions for better outcomes.
Area Of Science
- Gerontology and Geriatric Care
- Health Services Research
- Clinical Decision Support Systems
Background
- Transferring long-term care (LTC) residents to acute care hospitals is a complex process with significant health risks, including functional decline, morbidity, and mortality.
- Decision-making tools offer structured guidance for these transfers, aiming to improve informed discussions and patient outcomes.
- Current application of these tools is inconsistent across various LTC settings.
Purpose Of The Study
- To conduct a scoping review of studies evaluating decision support tools for long-term care (LTC) to hospital transfers.
- To summarize reported outcomes, identify intervention types, and highlight gaps in the application and evaluation of these tools.
Main Methods
- A systematic literature search was conducted in MEDLINE, Embase, and CENTRAL, adhering to PRISMA-Scr guidelines.
- Included studies evaluated decision support tools for LTC-to-hospital transfers.
- Identified studies were categorized by intervention type: educational booklets, decision aid videos, multidisciplinary programs, advance directive programs, and checklists.
Main Results
- Fifteen studies involving 50,175 patients were included in the review.
- Most studies reported positive outcomes, including reduced hospitalization rates and improved communication between care providers.
- Variability in the types of decision support tools utilized indicated a fragmented application across different settings.
Conclusions
- Decision support tools show promise in mitigating risks associated with LTC-to-hospital transfers.
- The fragmented application and evaluation of existing tools highlight a need for more standardized approaches.
- Future interventions should be culturally sensitive and standardized to improve consistency and effectiveness in LTC settings.
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