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Transitional Care/After Care

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After Hospital Discharge, Does Intensive Case Management Make a Difference?

April 11, 2008 | Program Result Report

The University of Colorado Health Sciences Center examined the effects of five HMO case management programs on patients' compliance with discharge services and use of acute care services.

Nurse Identified Hospital to Home Medication Discrepancies

May 1, 2010 | Journal Article

In this study, nurse interventionists identified and documented medication discrepancies from two Inland Northwest hospitals. The researchers identified more system-level discrepancies than patient-level ones.

Physician Views on Barriers to Primary Care for Young Adults With Childhood-Onset Chronic Disease

April 1, 2010 | Journal Article

General pediatricians and internists report multiple barriers to providing primary care to adults with childhood-onset chronic disease. Most believe it would be difficult for these patients to find an adult-focused provider to care for their needs.

Palliative Care in Long-Term Care

February 1, 2010 | Journal Article

Academic and medical professionals discuss the transition from palliative care in hospitals to nursing homes.

Human Capital News Roundup: Care transitions, "chemobrain," medical research funding, and more.

October 4, 2012 | Human Capital Blog Post

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of RWJF leaders, scholars, fellows and grantees.

Survivorship Beyond Convalescence

June 16, 2009 | Journal Article

This brief reports on a study that extends previous analysis of the effects of prostate cancer treatments. Researchers compared prostatectomy, radiation, and brachytherapy and outcomes for urinary, sexual, and bowel function, and basic physical and mental function over 48 months.

Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness

December 1, 2008 | Journal Article

After hospitalization for illness, older adults discharged with diminished ability to take care of themselves are at high risk for death or continued disability in the following year, and are not likely to recover functions they do not regain in the first month post-discharge.

Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood

July 1, 2008 | Journal Article

Youth with special needs face numerous issues when transitioning to the adult health system. A survey of 77 youth showed that too many lacked a usual source of care, and were either uninsured or had experienced an insurance gap.

Transition Planning for Youth with Special Health Care Needs

June 6, 2005 | Journal Article

Children with special health care needs are dependent on uninterrupted medical care for their health and well-being. Almost 13 percent of children in the U.S. are classified as such and they account for a disproportionate share of health care expend ...

Smoothing the Transition From Hospital to Community for Older Adults in Jacksonville, Fla.

December 7, 2011 | Story

Mark LeMaire led a community partnership in Jacksonville, Fla., that placed elder care advocates in area hospitals to help discharged patients transition back to the community. The hospitals have since incorporated the program into their operations.

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