Understanding Transitional Care
When talking about transitional medicine or transitional care, it is basically referring to the continuity and coordination of health care throughout movement from a certain healthcare facility to a different one or perhaps, back to the patient’s home. This is otherwise called as transition between health care practitioners and establishments as both of their care and condition changes during the course of acute or chronic illness.
And in relation to seniors, particularly the ones who have several health conditions, they are mostly in need of health care services that have to be done in different settings in an effort to ensure that their varying needs are satisfied. On the other hand, for younger adults, the focus is more on how to successfully move adult to child health services.
If we will base transition medicine as per the American Geriatrics Society or AGS, they discuss such as being the set of actions that are created to secure the coordination as well as continuity of health care while patients are transferred between locations or on different levels of care in the same facility or location. The representatives however include but not limited to sub-acute as well as post-acute nursing homes, hospitals, primary and specialty care offices, patient’s home and even long term care facilities.
Transitional care is focused on comprehensive plan of care and at the same time, the availability of health care practitioners who are well trained when it comes to chronic care. Not only that, practitioners must be able to have current information about the preferences, clinical status and goals of the patient. This additionally includes the education of family and the patient, logistical arrangements and coordination among healthcare professionals involved during the transition.
While on transition phase, the patients who receive more complex medical care which is typically older patients are at greater risks of poorer outcomes due to communication errors and/or medication errors among healthcare providers and between patients/family caregivers and providers involved. Most of the studies performed in area of transitional care looked further into transition from hospitalization to next provider setting which is typically a rehab center, sub-acute nursing facility or home either with a professional homecare service or none. The adverse outcome of the patient includes temporary or even permanent disability, recurrence or continuation of symptoms and worse, death.
The healthcare utilization outcomes for these patients who experience poor transitional medicine include returning to emergency room or perhaps, readmission to the hospital. Because of the reason that there is a consistent rise in healthcare expenditure at unprecedented rate, there is now more focused on providers, policymakers and patients on restraining unnecessary use of resources.