Effectiveness and costs of transitional care models in home care: integrative review

Authors

DOI:

https://doi.org/10.19175/recom.v14i0.5114

Keywords:

Transitional Care, Home Care, Health Care Costs, Effectiveness, Cost-Benefit Analysis

Abstract

Objective: to analyze the effectiveness and costs of transitional care models in home care of patients with acute and chronic conditions compared with other modalities. Method: integrative review of a sample of 18 articles among the 278 searched in seven databases. Results: among 15 transitional care models, the following stood out: rehabilitation; parenteral therapies; chronic disease follow-up; postoperative care; and home hospitalization. They were effective in treating acute or chronic conditions; simplifying access to hospital; preventing readmissions; reducing length of stay; increasing adherence to outpatient rehabilitation, reducing mortality, and improving emotional status/caregiver burden. The main cost component was per diem rates. In nine studies, the models meant decreases in overall hospitalization costs. Conclusion: transitional care in home care enables effective and cost-efficient continuity of care for providers and health systems.

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Author Biographies

Maria do Socorro Lina van Keulen, Universidade Federal de Juizde Fora (UFJF)

 Enfermeira, Mestre em Saúde Coletiva, Universidade Federal de Juiz de Fora.

Carolina Santiago Vieira, Universidade Federal de Minas Gerais (UFMG)

Enfermeira, Mestre em Enfermagem, Universidade Federal de Minas Gerais. 

 

Angélica Mônica Andrade, Universidade Federal do Rio de Janeiro (UFRJ)

Enfermeira, Doutora em Enfermagem, Universidade Federal do Rio de Janeiro/Campus Macaé.

 

Sandra Trindade Toledo Trindade Toledo, Universidade Federal de Juiz de Fora (UFJF)

Enfermeira. Mestre em Enfermagem, Universidade Federal de Juiz de Fora. 

Joanilson Santos Guimarães, Universidade Federal de Minas Gerais (UFMG)

Enfermeiro. Prefeitura Municipal de Contagem. 

 

Kênia Lara Silva, Universidade Federal de Minas Gerais (UFMG)

Enfermeira, Doutora em Enfermagem, Universidade Federal de Minas Gerais.

 

 

 

 

 

Published

2024-06-26

How to Cite

Barbosa de Castro, E. A., Lina van Keulen, M. do S., Santiago Vieira, C., Andrade, A. M., Trindade Toledo, S. T. T., Santos Guimarães, J., & Silva, K. L. (2024). Effectiveness and costs of transitional care models in home care: integrative review. Revista De Enfermagem Do Centro-Oeste Mineiro, 14. https://doi.org/10.19175/recom.v14i0.5114

Issue

Section

Revisão Integrativa/Sistemática de Literatura