Assessment tools addressing avoidable care transitions in older adults: a systematic literature review

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• dc.contributor.author Makhmutov, Rustem
• dc.contributor.author Calle Egusquiza, Alicia
• dc.contributor.author Roqueta, Cristina
• dc.contributor.author Amor Fernández, Eva Maria
• dc.contributor.author Meyer, Gabriele
• dc.contributor.author Ellen, Moriah E.
• dc.contributor.author Fleischer, Steffen
• dc.contributor.author Renom-Guiteras, Anna
• dc.date.accessioned 2025-11-11T18:09:33Z
• dc.date.available 2025-11-11T18:09:33Z
• dc.date.issued 2024
• dc.date.updated 2025-11-11T18:09:33Z
• dc.description.abstract Purpose: The phenomenon of avoidable care transitions has received increasing attention over the last decades due to its frequency and associated burden for the patients and the healthcare system. A number of assessment tools to identify avoidable transitions have been designed and implemented. The selection of the most appropriate tool appears to be challenging and time-consuming. This systematic review aimed to identify and comprehensively describe the assessment tools that can support stakeholders' care transition decisions on older adults. Methods: This study was conducted as part of the TRANS-SENIOR research network. A systematic search was conducted in MEDLINE via PubMed, CINAHL, and CENTRAL. No restrictions regarding publication date and language were applied. Results: The search in three electronic databases revealed 1266 references and screening for eligibility resulted in 58 articles for inclusion. A total of 48 assessment tools were identified covering different concepts, judgement processes, and transition destinations. We found variation in the comprehensiveness of the tools with regard to dimensions used in the judgement process. Conclusion: All tools are not comprehensive with respect to the dimensions covered, as they address only one or a few perspectives. Although assessment tools can be useful in clinical practice, it is worth it to bear in mind that they are meant to support decision-making and supplement the care professional¿s judgement, instead of replacing it. Our review might guide clinicians and researchers in choosing the right tool for identification of avoidable care transitions, and thus support informed decision-making.
• dc.description.sponsorship Open Access funding enabled and organized by Projekt DEAL. This work was supported by the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie Actions [Grant No. 812656]. The study's funder had no role in study design, data collection, data analysis, data interpretation, or preparation of the manuscript. Authors were not precluded from accessing data in the study, and they accepted responsibility for submitting for publication.
• dc.format.mimetype application/pdf
• dc.identifier.citation Makhmutov R, Calle Egusquiza A, Roqueta Guillen C, Amor Fernandez EM, Meyer G, Ellen EM, Fleischer S, Renom Guiteras A. Assessment tools addressing avoidable care transitions in older adults: a systematic literature review. Eur Geriatr Med. 2024 Dec;15(6):1587-601. DOI: 10.1007/s41999-024-01106-7
• dc.identifier.doi http://dx.doi.org/10.1007/s41999-024-01106-7
• dc.identifier.issn 1878-7649
• dc.identifier.uri http://hdl.handle.net/10230/71865
• dc.language.iso eng
• dc.publisher Springer
• dc.relation.ispartof European Geriatric Medicine. 2024;15(6):1587-601
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/812656
• dc.rights © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Decision-making
• dc.subject.keyword Preventable care transitions
• dc.subject.keyword Decision support tools
• dc.subject.keyword Older adults
• dc.title Assessment tools addressing avoidable care transitions in older adults: a systematic literature review
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion