TY - JOUR
T1 - Short-stay nursing home rehabilitation patients
T2 - Transitional care problems pose research challenges
AU - Quinn, Charlene C.
AU - Port, Cynthia L.
AU - Zimmerman, Sheryl
AU - Gruber-Baldini, Ann L.
AU - Kasper, Judith D.
AU - Fleshner, Irene
AU - Yody, Barbara
AU - Loome, John
AU - Magaziner, Jay
PY - 2008/10
Y1 - 2008/10
N2 - A clinical intervention pilot study to improve depression care for short-stay nursing home Medicare-reimbursed rehabilitation patients funded by the National Institute on Aging was conducted. Despite solid theoretical and clinical grounding and the support of a large nursing home company, several roadblocks to implementation were encountered, including involving patients and families, communication between providers, involving community primary care physicians, staff time constraints, and conducting research with short-stay patients. Although frustrating from a research standpoint, these roadblocks closely reflect problems identified by the American Geriatrics Society as impeding the delivery of high-quality transitional care in geriatrics. These research roadblocks are described as they were encountered in the clinical setting, and each is placed within the larger context of challenges associated with care transitions, especially for older persons with complex health needs receiving nursing home rehabilitation. Finally, recommendations are offered for researchers conducting much-needed research within geriatric transitional care settings, including starting early in the care transition chain and assisting patients and families with providing continuity across care settings.
AB - A clinical intervention pilot study to improve depression care for short-stay nursing home Medicare-reimbursed rehabilitation patients funded by the National Institute on Aging was conducted. Despite solid theoretical and clinical grounding and the support of a large nursing home company, several roadblocks to implementation were encountered, including involving patients and families, communication between providers, involving community primary care physicians, staff time constraints, and conducting research with short-stay patients. Although frustrating from a research standpoint, these roadblocks closely reflect problems identified by the American Geriatrics Society as impeding the delivery of high-quality transitional care in geriatrics. These research roadblocks are described as they were encountered in the clinical setting, and each is placed within the larger context of challenges associated with care transitions, especially for older persons with complex health needs receiving nursing home rehabilitation. Finally, recommendations are offered for researchers conducting much-needed research within geriatric transitional care settings, including starting early in the care transition chain and assisting patients and families with providing continuity across care settings.
KW - Care transition
KW - Nursing home
KW - Rehabilitation
KW - Research
UR - http://www.scopus.com/inward/record.url?scp=53149096206&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=53149096206&partnerID=8YFLogxK
U2 - 10.1111/j.1532-5415.2008.01852.x
DO - 10.1111/j.1532-5415.2008.01852.x
M3 - Review article
C2 - 18691277
AN - SCOPUS:53149096206
SN - 0002-8614
VL - 56
SP - 1940
EP - 1945
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 10
ER -