Study group | TRANSITIONAL CARE | CONTROL | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Centre | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
Hospital characteristics | ||||||||||||
University Hospital | + | + | + | + | + | |||||||
Regional Hospital | + | + | + | + | + | + | + | |||||
Emergency Department | + | + | + | + | + | + | + | + | + | + | + | + |
In-hospital Geriatric Mobile Team | + | + | + | + | + | + | + | + | + | + | + | + |
Geographic area characteristics | ||||||||||||
Urban | + | + | + | + | + | + | + | + | + | |||
Rural | + | + | + | |||||||||
Standardized intervention during the ED visit | ||||||||||||
Screening for risk of readmission | + | + | + | + | + | + | + | + | + | + | + | + |
Comprehensive Geriatric Assessment | + | + | + | + | + | + | + | + | + | + | + | + |
Discharge procedure (medical report) | + | + | + | + | + | + | + | + | + | + | + | + |
Transitional care: standardized intervention | No Transitional Care | |||||||||||
Telephone call between day 1 and day 6 | + | + | + | + | + | + | + | |||||
Multidisciplinary team | + | + | + | + | + | + | + | |||||
Home-visits if necessary | + | + | + | + | + | + | + | |||||
Structured hospital-community coordination | + | + | + | + | + | + | + | |||||
Other possible interventions components | ||||||||||||
Personalized care plan elaboration | + | + | + | |||||||||
Educational intervention | + | |||||||||||
Monthly meetings with primary care settings | + | + | + | + | ||||||||
Shared professional with primary care settings | + | |||||||||||
Supportive intervention for family caregivers | + | + | + | |||||||||
Shared home-visits with primary care members | + | + | + | |||||||||
Day-hospital evaluation | + | + | + | + | + | |||||||
Computerized shared information system | + |