Closing care gaps after hospitalization : Study results [intersec-CM] on discharge and transfer management according to sect. 39 SGB V for people with cognitive impairments associated with dementia
Copyright © 2024. Published by Elsevier GmbH..
In Germany, there are 1.8 million people currently living with dementia, and the trend is rising. In particular, the health system at the transition from hospital to outpatient care is facing major challenges given the high increase in a difficult patient clientele. Legal efforts have been undertaken (sect. 39a of the Fifth Social Code Book [SGB V]) to close the care gaps in the discharge and transfer process. This article aims to provide an overview of the documentation process of the discharge and transfer management for people with cognitive impairments in everyday clinical practice according to SGB V sect. 39 para. 1a after the Discharge Management Act came into force. Furthermore, the manuscript answers the research question "How is the statutory discharge management of people with cognitive impairments (MmkB) aged 65 and over documented" and highlights further characteristics of the discharge documentation for MmkB starting with the transition from the inpatient setting to other care settings. In order to answer the research question(s), a qualitative content analysis of all discharge documents available at the time of discharge was carried out as part of the intervention study on cross-sector care management to support cognitively impaired people during and after a hospital stay [intersec-CM], which was funded by the Federal Ministry of Education and Research. The results of the analysis show that, despite legal efforts, there are currently no standardized, unified processes of discharge management for people with cognitive impairments that can be traced in writing. However, departments with a large proportion of vulnerable patient groups were able to offer valuable insights: for example, their discharge documents included a short social history. Further evidence-based research and development in the domain of discharge management for people with cognitive impairments remains essential.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:185 |
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| Enthalten in: |
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - 185(2024) vom: 18. Apr., Seite 35-44 |
| Sprache: |
Deutsch |
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| Weiterer Titel: |
Versorgungslücken nach dem Krankenhausaufenthalt schließen: Studienergebnisse [intersec-CM] zum Entlass- und Überleitungsmanagement nach § 39 SGB V für Menschen, die im Krankenhaus kognitive demenzielle Beeinträchtigungen zeigen |
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| Beteiligte Personen: |
Schumacher-Schönert, Fanny [VerfasserIn] |
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| Links: |
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| Themen: |
Acute care |
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| Anmerkungen: |
Date Completed 22.04.2024 Date Revised 22.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.zefq.2024.01.001 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368782654 |
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| 245 | 1 | 0 | |a Closing care gaps after hospitalization |b Study results [intersec-CM] on discharge and transfer management according to sect. 39 SGB V for people with cognitive impairments associated with dementia |
| 246 | 3 | 3 | |a Versorgungslücken nach dem Krankenhausaufenthalt schließen: Studienergebnisse [intersec-CM] zum Entlass- und Überleitungsmanagement nach § 39 SGB V für Menschen, die im Krankenhaus kognitive demenzielle Beeinträchtigungen zeigen |
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| 500 | |a Date Revised 22.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024. Published by Elsevier GmbH. | ||
| 520 | |a In Germany, there are 1.8 million people currently living with dementia, and the trend is rising. In particular, the health system at the transition from hospital to outpatient care is facing major challenges given the high increase in a difficult patient clientele. Legal efforts have been undertaken (sect. 39a of the Fifth Social Code Book [SGB V]) to close the care gaps in the discharge and transfer process. This article aims to provide an overview of the documentation process of the discharge and transfer management for people with cognitive impairments in everyday clinical practice according to SGB V sect. 39 para. 1a after the Discharge Management Act came into force. Furthermore, the manuscript answers the research question "How is the statutory discharge management of people with cognitive impairments (MmkB) aged 65 and over documented" and highlights further characteristics of the discharge documentation for MmkB starting with the transition from the inpatient setting to other care settings. In order to answer the research question(s), a qualitative content analysis of all discharge documents available at the time of discharge was carried out as part of the intervention study on cross-sector care management to support cognitively impaired people during and after a hospital stay [intersec-CM], which was funded by the Federal Ministry of Education and Research. The results of the analysis show that, despite legal efforts, there are currently no standardized, unified processes of discharge management for people with cognitive impairments that can be traced in writing. However, departments with a large proportion of vulnerable patient groups were able to offer valuable insights: for example, their discharge documents included a short social history. Further evidence-based research and development in the domain of discharge management for people with cognitive impairments remains essential | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute care | |
| 650 | 4 | |a Care Management | |
| 650 | 4 | |a Cognitive impairment | |
| 650 | 4 | |a Dementia | |
| 650 | 4 | |a Demenz | |
| 650 | 4 | |a Deutschland | |
| 650 | 4 | |a Discharge | |
| 650 | 4 | |a Entlassungsmanagement | |
| 650 | 4 | |a Germany | |
| 650 | 4 | |a Hospital | |
| 650 | 4 | |a Krankenhaus | |
| 650 | 4 | |a Primary care | |
| 650 | 4 | |a SGB V section 39 | |
| 700 | 1 | |a Boekholt, Melanie |e verfasserin |4 aut | |
| 700 | 1 | |a Nikelski, Angela |e verfasserin |4 aut | |
| 700 | 1 | |a Chikhradze, Nino |e verfasserin |4 aut | |
| 700 | 1 | |a Lücker, Petra |e verfasserin |4 aut | |
| 700 | 1 | |a Kracht, Friederike |e verfasserin |4 aut | |
| 700 | 1 | |a Vollmar, Horst Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Hoffmann, Wolfgang |e verfasserin |4 aut | |
| 700 | 1 | |a Kreisel, Stefan |e verfasserin |4 aut | |
| 700 | 1 | |a Thyrian, Jochen René |e verfasserin |4 aut | |
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