Primarily educational or (f) readmission (high 14. Future studies should Other (e.g. Peer Support). SOE) but not all-cause evaluate readmissions (moderate whether interventions that SOE). Home-visiting reduce readmission rates programs, MDS-HF clinics, over 3 to 6 months also and STS interventions reduce 30-day readmission produced a mortality rates and could directly benefit. compare 1 intervention Neither telemonitoring nor with another e.g. primarily educational program vs. interventions reduced multidisciplinary clinic). readmission or mortality Given that many patients rates. do not have access to specialty care (e.g. in rural settings) or may prefer care based in primary care clinics, future studies should evaluate the of transitional care interventions in primary care clinics. Assisted Discharge Utens et al. (2013). 1 NR. 4 COPD n=139, 69 UC, 70 8 Regarding patient 10. NR. 13 Preference for home HaH. satisfaction 49% (n=34)UC treatment from both Netherlands 2 NR. and 41% (29) HaH a score 11. NR groups 42% (UC) and 86% 5.COPD. was obtained thus from HaH group. RCT 3 Hospital-at-home those numbers, 70% were 12. Visiting arrangements involves early discharge 6 Hospital care for 7 days satisfied in UC group & for home visits agreed and 14. Patient preference Investigates preference and from hospital at day 4 of followed by UC or 71% HaH group. Only arranged prior to should be considered an satisfaction in admission, + 1 home nurse discharge day 4 and follow significant difference was discharge; expectations of option for these patients & usual care. visit on that day & for next up nurse care at home until the group at home felt more and content of home care given the similar outcomes 3 days + telephone access day 7 with phone access to unsafe at night than UC visits need to be made fro hospital and home care to hospital ward to day 7. hosp. group (p<0.029) and less explicit. health outcomes and
Primarily educational or (f) Other (e.g. Peer Support). readmission (high SOE) but not all-cause readmissions (moderate SOE). Home-visiting programs, MDS-HF clinics, and STS interventions produced a mortality benefit. Neither telemonitoring nor primarily educational interventions reduced readmission or mortality rates. 14. Future studies should evaluate whether interventions that reduce readmission rates over 3 to 6 months also reduce 30-day readmission rates and could directly compare 1 intervention with another e.g. program vs. multidisciplinary clinic). Given that many patients do not have access to specialty care (e.g. in rural settings) or may prefer care based in primary care clinics, future studies should evaluate the of transitional care interventions in primary care clinics. Assisted Discharge Utens et al. (2013). Netherlands RCT Investigates preference and satisfaction in & usual care. 1 NR. 2 NR. 3 Hospital-at-home involves early discharge from hospital at day 4 of admission, + 1 home nurse visit on that day & for next 3 days + telephone access to hospital ward to day 7. 4 COPD n=139, 69 UC, 70 HaH. 5.COPD. 6 Hospital care for 7 days followed by UC or discharge day 4 and follow up nurse care at home until day 7 with phone access to hosp. 8 Regarding patient satisfaction 49% (n=34)UC and 41% (29) HaH a score was obtained thus from those numbers, 70% were satisfied in UC group & 71% HaH group. Only significant difference was the group at home felt more unsafe at night than UC group (p<0.029) and less 10. NR. 11. NR 12. Visiting arrangements for home visits agreed and arranged prior to discharge; expectations of and content of home care visits need to be made explicit. 13 Preference for home treatment from both groups 42% (UC) and 86% HaH group. 14. Patient preference should be considered an option for these patients given the similar outcomes fro hospital and home care health outcomes and