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A scoping review of care trajectories across multiple settings for persons with dementia

Kosteniuk, JG; Morgan, DG; Elliot, V; Froehlich Chow, A; Bayly, M; Watson, E; Osman, M; Acan Osman, B; O'Connell, ME; Kirk, A; Stewart, N; Cammer, A; Innes, A

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Authors

JG Kosteniuk

DG Morgan

V Elliot

A Froehlich Chow

M Bayly

E Watson

M Osman

B Acan Osman

ME O'Connell

A Kirk

N Stewart

A Cammer

A Innes



Abstract

Multiple transitions across care settings can be disruptive for older adults with dementia and their care partners, and can lead to fragmented care with adverse outcomes. This scoping review was conducted to identify and classify care trajectories across multiple settings for people with dementia, and to understand the prevalence of multiple transitions and associated factors at the individual and organizational levels. Searches of three databases, limited to peer-reviewed studies published between 2007 and 2017, provided 33 articles for inclusion. We identified 26 distinct care trajectories. Common trajectories involved hospital readmission or discharge from hospital to long-term care. Factors associated with transitions were identified mainly at the level of demographic and medical characteristics. Findings suggest a need for investing in stronger community-based systems of care that may reduce transitions. Further research is recommended to address knowledge gaps about complex and longitudinal care trajectories and trajectories experienced by sub-populations of people living with dementia.

Citation

Kosteniuk, J., Morgan, D., Elliot, V., Froehlich Chow, A., Bayly, M., Watson, E., …Innes, A. (2021). A scoping review of care trajectories across multiple settings for persons with dementia. Canadian Journal on Aging / Revue canadienne du vieillissement, 1-25. https://doi.org/10.1017/S0714980821000167

Journal Article Type Article
Acceptance Date Nov 1, 2020
Online Publication Date Jul 12, 2021
Publication Date Jul 12, 2021
Deposit Date Aug 2, 2021
Publicly Available Date Aug 2, 2021
Journal Canadian journal on aging = La revue canadienne du vieillissement
Print ISSN 0714-9808
Electronic ISSN 1710-1107
Publisher Cambridge University Press (CUP)
Pages 1-25
DOI https://doi.org/10.1017/S0714980821000167
Publisher URL https://doi.org/10.1017/S0714980821000167
Related Public URLs http://journals.cambridge.org/action/displayJournal?jid=CJG
Additional Information Additional Information : ** From PubMed via Jisc Publications Router **Journal IDs: eissn 1710-1107 **Article IDs: pubmed: 34250881; pii: S0714980821000167 **History: published 12-07-2021
Projects : Canadian Consortium on Neurodegeneration in Aging (CCNA)
Grant Number: 148444
Grant Number: 3431

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