Examining the Role of Third Sector Organization Volunteers in Facilitating Hospital-to-Home Transitions for Older Adults - a Collective Case Study.

IF 2.6 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES International Journal of Integrated Care Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI:10.5334/ijic.7670
Michelle L A Nelson, Marianne Saragosa, Hardeep Singh, Juliana Yi
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Abstract

Introduction: With increasing attention to models of transitional support delivered through multisectoral approaches, third-sector organizations (TSOs) have supported community reintegration and independent living post-hospitalization. This study aimed to identify the core elements of these types of programs, the facilitators, and barriers to service implementation and to understand the perspectives of providers and recipients of their experiences with the programs.

Methods and analysis: A collective case study collected data from two UK-based 'Home from Hospital' programs. An inductive thematic analysis generated rich descriptions of each program, and analytical activities generated insights across the cases.

Results: Programs provided a range of personalized support for older adults and addressed many post-discharge needs, including well-being assessments, support for instrumental activities of daily living, psychosocial support, and other individualized services directed by the needs and preferences of the service user. Results suggest that these programs can act as a 'safety net' and promote independent living. Skilled volunteers can positively impact older adults' experience returning home.

Conclusions: When the programs under study are considered in tandem with existing evidence, it facilitates a discussion of how TSO services could be made available more widely to support older adults in their transition experiences.

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研究第三部门组织志愿者在促进老年人从医院到家庭的过渡中的作用--集体案例研究。
导言:随着人们越来越关注通过多部门方法提供过渡性支持的模式,第三部门组织(TSOs)为住院后重新融入社区和独立生活提供了支持。本研究旨在确定这类项目的核心要素、促进因素和服务实施的障碍,并了解提供者和受助者对项目经验的看法:集体案例研究收集了英国两个 "出院回家 "项目的数据。归纳式主题分析对每项计划进行了丰富的描述,分析活动对各案例进行了深入分析:结果:这些项目为老年人提供了一系列个性化支持,满足了他们出院后的许多需求,包括幸福感评估、日常生活工具性活动支持、社会心理支持,以及根据服务使用者的需求和偏好提供的其他个性化服务。研究结果表明,这些项目可以发挥 "安全网 "的作用,促进独立生活。熟练的志愿者可以对老年人的返家体验产生积极影响:将研究中的项目与现有证据结合起来考虑,有助于讨论如何更广泛地提供 TSO 服务,以支持老年人的过渡经历。
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来源期刊
International Journal of Integrated Care
International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.80
自引率
8.30%
发文量
887
审稿时长
>12 weeks
期刊介绍: Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).
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