Designing of digital tool for hospital-to-home transitional care for older adults with chronic obstructive pulmonary disease
H. S. Jo, Y. Park, S. M. Jung, Y. S. Hwang, S. K. Kim
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AbstractRepeated hospitalization in elderly patients with chronic diseases is a risk factor for deteriorated quality of life, functional decline, and mortality. Support for transitional care of hospitalized elderly patients is essential to prevent unnecessary readmission. Transitional care services (TCS) are comprehensive programs designed to enhance the self-care competency of patients discharged from hospitals and help them recover and resume normal daily routines (Naylor et al., 2011). TCS requires comprehensive and systematic activities that identify risk factors for readmission through the initial screening of patients upon admission and provides plans for healthcare, education, and post-discharge care, as well as connection to community resources (Naylor & Sochalski, 2010). TCS is currently not covered by insurance in South Korea but is being implemented as a pilot project at 17 regional and 35 local accountable care hospitals nationwide (Ministry of Health and Welfare, 2018). The key to the success of these programs lies in the expertise and patient management skills of the coordinators in charge of TCS, which depend on the competencies of individual coordinators. TCS can be widely disseminated across multiple hospitals by developing digital tools for patient screening upon admission, items requiring personalized care, and customized services for discharged patient care. This study aimed to develop a digital tool that enabled coordinators to effectively manage TCS in elderly patients hospitalized with Chronic Obstructive Pulmonary Disease (COPD) and make decisions based on necessary information.Keywords: chronic obstructive pulmonary disease, transitional care service, digital tool
H. S. Jo, Y. Park, S. M. Jung, Y. S. Hwang, S. K. Kim (2024). Designing of digital tool for hospital-to-home transitional care for older adults with chronic obstructive pulmonary disease. Gerontechnology, 23(2), 1-1
https://doi.org/10.4017/gt.2024.23.s.1127.pp