Legislative compliance in coordinated care transitions: a mixed-method study of healthcare professionals' documentation and older adults' experiences
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View abstract on PubMed
Summary
This summary is machine-generated.Older adults are often excluded from coordinated care transitions, with poor documentation of their involvement. Standardized, inclusive practices are needed for person-centered care.
Area Of Science
- Gerontology
- Healthcare Management
- Social Care Policy
Background
- Coordinated care transitions are crucial for older adults post-discharge.
- Legislation aims to ensure older adults' rights and involvement in care.
- Discharge planning requires effective communication and documentation.
Purpose Of The Study
- To explore how coordinated care transitions for older adults align with legislation.
- To describe the process of care transitions from inpatient care to home for older adults.
- To identify gaps in documentation and older adult participation.
Main Methods
- Mixed-methods design combining healthcare/social care records (QUAL) and interviews (qual).
- Analysis of 15 older adults' care transitions between January and June 2022.
- Deductive thematic analysis of qualitative data.
Main Results
- Individual care plans were frequently missing or inadequately documented.
- Older adults' participation in decision-making was often poorly documented and inconsistent.
- Significant variability exists in older adults' inclusion, with discrepancies between documented procedures and experiences.
Conclusions
- Older adults are frequently excluded from coordinated care transitions.
- Deficiencies in documentation and inconsistent inclusion practices were identified.
- There is an urgent need for standardized, inclusive documentation and improved communication for person-centered care transitions.
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