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Table 1 Details of the ITC dimensions implemented for each study analyzed

From: Disentangling organizational levers and economic benefits in transitional care programs: a systematic review and configurational analysis

Dimension

Complete Communication of Information

Availability, Timeliness, Clarity, and Organization of Information

Medication Safety

Educating Patients, Promoting Self-Management

Monitoring and Managing Symptoms after Discharge

Enlisting Help of Social And Community Supports

Advance Care Planning

Coordinating Care Among Team Members

Discharge Planning

Follow-Up with Outpatient Providers

  

Dimension description

Focuses on the content of the information delivered to the receiving clinician

Highlights if/when this information is received by the receiving clinician, and how it is optimally presented to maximize utility

Medication reconciliation across the continuum of care

Education to patients and caregivers, using principles of health literacy, teach-back, and encouraging self-advocacy

Multi-modality interventions (telehealth, calls, visits in clinic and/or home), and a responsible clinician to respond to concerns

Adequate assessment of home environment and support and implementing help if needed

Establish health-care proxy and goals of care

Share medical records, communicate with all team members, optimize continuity of providers, formalize handoffs

Emphasize identifying patient needs prior to discharge, implementing interventions prior to discharge

Follow-up with the right provider(s), appropriate time frame, preparation for visit

  

Author

Year

          

N intervention implemented per TC

Moore et al.

2017

x

x

x

 

x

   

x

 

5/10

Hall et al.

2014

x

 

x

x

x

  

x

x

 

6/10

Wong et al.

2012

  

x

x

x

x

  

x

 

5/10

Harrison et al.

2014

x

 

x

 

x

  

x

  

4/10

Wong et al.

2015

x

 

x

 

x

x

x

x

x

x

8/10

Stranges et al.

2015

x

x

x

 

x

  

x

x

x

7/10

Anderson

2005

x

x

x

x

x

  

x

x

x

8/10

Courtney et al.

2009

x

  

x

x

x

x

 

x

x

7/10

Galbraith et al.

2017

   

x

x

   

x

x

4/10

Jackson et al.

2013

  

x

x

x

   

x

x

5/10

Watkins et al.

2012

  

x

x

x

x

x

 

x

x

7/10

Stauffer et al.

2011

x

x

x

x

x

x

x

x

x

x

10/10

Naylor et al.

2004

x

x

x

x

x

x

x

x

x

x

10/10

Jingyi et al.

2018

x

x

x

x

x

x

 

x

x

x

9/10

Jackson et al.

2016

    

x

x

    

2/10

Russel et al.

2011

x

x

x

x

x

x

x

x

x

x

10/10

Saleh et al.

2012

  

x

x

x

x

x

x

x

x

8/10

Kam et al.

2015

  

x

 

x

x

  

x

x

5/10

Zhang et al.

2017

  

x

x

x

x

 

x

x

x

7/10

Dhillon et al.

2017

    

x

   

x

x

3/10

Simpson

2014

  

x

x

x

x

x

x

x

x

8/10

Coleman et al.

2006

x

x

x

 

x

   

x

x

6/10

Naylor et al.

1999

x

x

 

x

x

x

x

x

x

x

9/10

Naylor et al.

1994

x

x

 

x

x

x

x

x

x

x

9/10

Rich et al.

1995

   

x

x

x

  

x

x

5/10

Balaban et al.

2015

  

x

 

x

x

  

x

x

5/10

Graves et al.

2009

x

x

 

x

x

   

x

x

6/10

Kwok et al.

2008

  

x

 

x

   

x

x

4/10

Wong et al.

2008

   

x

  

x

 

x

x

4/10

Gardner et al.

2014

x

x

 

x

x

  

x

x

x

7/10

Lee

2017

    

x

   

x

x

3/10

Baley et al.

2019

x

x

x

x

x

x

  

x

x

7/10

Candelario et al.

2018

  

x

x

x

x

 

x

x

x

7/10

Kripalani et al.

2019

  

x

x

x

x

 

x

x

x

7/10

Lee et al.

2019

  

x

x

x

    

x

4/10

Rahim et al.

2018

  

x

x

x

   

x

x

5/10

Taylor et al.

2019

  

x

x

x

   

x

x

5/10

Xiang et al.

2018

  

x

x

x

x

x

x

x

x

8/10

Total

17/38

13/38

27/38

27/38

37/38

21/38

12/38

18/38

35/38

33/38

 
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BMC Health Services Research

ISSN: 1472-6963

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