Older patients’ experiences of nurse‐to‐nurse collaboration between hospital and primary health care in the care chain for older people

2019 ◽  
Vol 33 (3) ◽  
pp. 600-608 ◽  
Author(s):  
Terhi Lemetti ◽  
Päivi Voutilainen ◽  
Minna Stolt ◽  
Sini Eloranta ◽  
Riitta Suhonen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Older People ◽  
Older Patients ◽  
Primary Health ◽  
Care Chain

Telephone communication between practice nurses and older patients with long term conditions – a systematic review

2016 ◽  
Vol 23 (1) ◽  
pp. 142-148 ◽  
Author(s):  
Deborah Raphael ◽  
Susan Waterworth ◽  
Merryn Gott
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Older People ◽  
Older Patients ◽  
Health Indicators ◽  
Long Term Conditions ◽  
Telephone Communication ◽  
Practice Nurses ◽  
Primary Health

Background and aims Long term conditions are a significant health problem faced by older people worldwide. Telephone communication is often used to deliver health care to patients and is an important tool in improving access to care. Previous research has shown that primary health care nurses communicate with patients by telephone, but little is known about the way in which telephone communication can be used to benefit older patients with long term conditions. The aims of this review were to identify the range and scope of telephone use between practice nurses working in primary health care and older people with long term conditions, explore which elements of this communication has been successful, and determine whether older people see telephone communication as useful for their needs. Methods A systematic search of the literature was conducted through CINAHL, Medline, Web of Science and EMBASE between July and August 2015. Included were English language articles containing older adults, primary care nurses and both qualitative and quantitative designs. Results Five studies met the inclusion criteria. All were intervention studies, and none looked at routine telephone communication between nurse and patient. Most studies showed that telephone based interventions were successful in improving pre-determined disease-specific health indicators. Conclusions All telephone communication interventions in this review focused on a specific long term condition, which they aimed to help patients self-manage. While all studies' samples included older patients, they did not consider them separately in relation to the effectiveness of the intervention. What was also lacking was the patient perspective regarding effectiveness in all but one study.

scholarly journals Primary Health Care and Aging

2004 ◽  
Vol 2 (3) ◽  
pp. 99-108
Author(s):  
Martha Pelaez ◽  
Marilyn Rice
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Older People ◽  
Older Persons ◽  
Interdisciplinary Teams ◽  
Healthy Ageing ◽  
Policy Statement ◽  
Primary Health

From 21-25 February 2000, in San Jose, Costa Rica, a WHO Consultative Group was held on the topic of Primary Health Care for Older Persons, with representatives from 13 countries from around the world, as well as Headquarters and Regional offices of WHO and the private sector. In the policy statement that emerged from the meeting four basic principles were highlighted: universal accessibility and coverage on the basis of need, community and individual involvement, intersectoral action for health, and appropriate use of cost effective technologies in relation to the available resources. Three complementary integration functions are mentioned: functional with an integrated approach to the health needs of individuals over their life course taking precedence over episodic management of disease; organizational, with a focus on how health centers should function with interdisciplinary teams; and educational which addresses the knowledge and skills and attitudes needed by health professionals that will facilitate communication, networking, advocacy and mediation of resources. The proceedings go on to outline the objectives to be included in national plans on health of older people, as well as the extended benefits and outcomes to be expected from PHC strategies for older people. In promoting quality of care for older persons, positive and negative factors are mentioned, as are strategies to: stimulate interest in geriatric care, motivate general practitioners to focus on the care of elders, encourage teamwork among PHC staff, and encourage multi-sectoral collaboration in promoting the health of older persons. An example is provided of healthy ageing from Canada. The recommendations include defining and measuring an ageing friendly health center (with specific indicators for the latter), defining the role of the PHC team in promoting healthy ageing, characteristics that programs should have to promote “age friendly” services in the primary care setting, and outcome indicators for quality of care of elders at the PHC level.

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