• Corpus ID: 6206404

Transitional care for older adults: a cost-effective model.

@article{Naylor2004TransitionalCF,
  title={Transitional care for older adults: a cost-effective model.},
  author={Mary D. Naylor},
  journal={LDI issue brief},
  year={2004},
  volume={9 6},
  pages={
          1-4
        }
}
  • M. Naylor
  • Published 1 April 2004
  • Medicine
  • LDI issue brief
Although the quality of care in hospitals and ambulatory settings is undergoing more scrutiny, far less attention has focused on the care patients receive as they move from one setting to another. Older patients who transition from hospital to home are particularly vulnerable: many of these patients have multiple health problems that continue beyond discharge. In response, investigators at the University of Pennsylvania developed a model of care delivered by nurse experts who follow vulnerable… 
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References

Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial
TLDR
Examination of the effectiveness of a transitional care intervention delivered by advanced practice nurses to elders hospitalized with heart failure to see if it improves the quality of life for these elders.