Rehospitalization1414 Low LL, Vasanwala FF, Ng LB, Chen C, Lee KH, Tan SY. Effectiveness of a transitional home care program in reducing acute hospital utilization: a quasi-experimental study. BMC Health Serv Res. 2015;15:100. https://doi.org/10.1186/s12913-015-0750-2. https://doi.org/10.1186/s12913-015-0750-...
15 Diplock G, Ward J, Stewart S, Scuffham P, Stewart P, Reeve C et al. The Alice Springs Hospital Readmission Prevention Project (ASHRAPP): a randomised control trial. BMC Health Serv Res. 2017;17(1):153. http://dx.doi.org/10.1186/s12913-017-2077-7. PMid:28219383. http://dx.doi.org/10.1186/s12913-017-207...
-1616 Soto GE, Huenefeldt EA, Hengst MN, Reimer AJ, Samuel SK, Samuel SK et al. Implementation and impact analysis of a transitional care pathway for patients presenting to the emergency department with cardiac-related complaints. BMC Health Serv Res. 2018;18:672. https://doi.org/10.1186/s12913-018-3482-2. https://doi.org/10.1186/s12913-018-3482-...
,2323 Vat M, Common C, Laizner AM, Borduas C, Maheu C. Reasons for returning to the emergency department following discharge from an internal medicine unit: perspectives of patients and the liaison nurse clinician. J Clin Nurs. 2015;24(23-24):3605-14. http://dx.doi.org/10.1111/jocn.13011. PMid:26467172. http://dx.doi.org/10.1111/jocn.13011...
,2626 Cloonan P, Wood J, Riley JB. Reducing 30-day readmissions: health literacy strategies. J Nurs Adm. 2013;43(7-8):382-7. http://dx.doi.org/10.1097/NNA.0b013e31829d6082. PMid:23892303. http://dx.doi.org/10.1097/NNA.0b013e3182...
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Attributes, consequences, and empirical referents
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Integrated Care1212 Fitzpatrick SJ, Perkins D, Handley T, Brown D, Luland T, Corvan E. Coordinating mental and physical health care in rural australia: an integrated model for primary care settings. Int J Integr Care. 2018;18(2):19. http://dx.doi.org/10.5334/ijic.3943. PMid:30127703. http://dx.doi.org/10.5334/ijic.3943...
,1313 Wodchis WP, Dixon A, Anderson GM, Goodwin N. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis. Int J Integr Care. 2015;15(6):e021. https://doi.org/10.5334/ijic.2249. https://doi.org/10.5334/ijic.2249...
, professional collaboration44 Ribas EN, Bernardino E, Larocca LM, Poli P No, Aued GK, Silva CPCD. Nurse liaison: a strategy for counter-referral. Rev Bras Enferm. 2018;71(Suppl 1):546-53. http://dx.doi.org/10.1590/0034-7167-2017-0490. PMid:29562010. http://dx.doi.org/10.1590/0034-7167-2017...
,1313 Wodchis WP, Dixon A, Anderson GM, Goodwin N. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis. Int J Integr Care. 2015;15(6):e021. https://doi.org/10.5334/ijic.2249. https://doi.org/10.5334/ijic.2249...
,1717 Lemetti T, Voutilainen P, Stolt M, Eloranta S, Suhonen R. An enquiry into nurse-to-nurse collaboration within the older people care chain as part of the integrated care: a qualitative study. Int J Integr Care. 2017;17(1):5. http://dx.doi.org/10.5334/ijic.2418. PMid:29042847. http://dx.doi.org/10.5334/ijic.2418...
, coordination55 Costa MFBNAD, Andrade SR, Soares CF, Pérez EIB, Tomás SC, Bernardino E. The continuity of hospital nursing care for Primary Health Care in Spain. Rev Esc Enferm USP. 2019;53:e03477. http://dx.doi.org/10.1590/s1980-220x2018017803477. PMid:31291396. http://dx.doi.org/10.1590/s1980-220x2018...
,66 Aued GK, Bernardino E, Lapierre J, Dallaire C. Atividades das enfermeiras de ligação na alta hospitalar: uma estratégia para a continuidade do cuidado. Rev Lat Am Enfermagem. 2019;27:e3162. http://dx.doi.org/10.1590/1518-8345.3069.3162. PMid:31432917. http://dx.doi.org/10.1590/1518-8345.3069...
,1212 Fitzpatrick SJ, Perkins D, Handley T, Brown D, Luland T, Corvan E. Coordinating mental and physical health care in rural australia: an integrated model for primary care settings. Int J Integr Care. 2018;18(2):19. http://dx.doi.org/10.5334/ijic.3943. PMid:30127703. http://dx.doi.org/10.5334/ijic.3943...
,1313 Wodchis WP, Dixon A, Anderson GM, Goodwin N. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis. Int J Integr Care. 2015;15(6):e021. https://doi.org/10.5334/ijic.2249. https://doi.org/10.5334/ijic.2249...
,1717 Lemetti T, Voutilainen P, Stolt M, Eloranta S, Suhonen R. An enquiry into nurse-to-nurse collaboration within the older people care chain as part of the integrated care: a qualitative study. Int J Integr Care. 2017;17(1):5. http://dx.doi.org/10.5334/ijic.2418. PMid:29042847. http://dx.doi.org/10.5334/ijic.2418...
, discharge planning55 Costa MFBNAD, Andrade SR, Soares CF, Pérez EIB, Tomás SC, Bernardino E. The continuity of hospital nursing care for Primary Health Care in Spain. Rev Esc Enferm USP. 2019;53:e03477. http://dx.doi.org/10.1590/s1980-220x2018017803477. PMid:31291396. http://dx.doi.org/10.1590/s1980-220x2018...
,1717 Lemetti T, Voutilainen P, Stolt M, Eloranta S, Suhonen R. An enquiry into nurse-to-nurse collaboration within the older people care chain as part of the integrated care: a qualitative study. Int J Integr Care. 2017;17(1):5. http://dx.doi.org/10.5334/ijic.2418. PMid:29042847. http://dx.doi.org/10.5334/ijic.2418...
, communication44 Ribas EN, Bernardino E, Larocca LM, Poli P No, Aued GK, Silva CPCD. Nurse liaison: a strategy for counter-referral. Rev Bras Enferm. 2018;71(Suppl 1):546-53. http://dx.doi.org/10.1590/0034-7167-2017-0490. PMid:29562010. http://dx.doi.org/10.1590/0034-7167-2017...
5 Costa MFBNAD, Andrade SR, Soares CF, Pérez EIB, Tomás SC, Bernardino E. The continuity of hospital nursing care for Primary Health Care in Spain. Rev Esc Enferm USP. 2019;53:e03477. http://dx.doi.org/10.1590/s1980-220x2018017803477. PMid:31291396. http://dx.doi.org/10.1590/s1980-220x2018...
-66 Aued GK, Bernardino E, Lapierre J, Dallaire C. Atividades das enfermeiras de ligação na alta hospitalar: uma estratégia para a continuidade do cuidado. Rev Lat Am Enfermagem. 2019;27:e3162. http://dx.doi.org/10.1590/1518-8345.3069.3162. PMid:31432917. http://dx.doi.org/10.1590/1518-8345.3069...
,1212 Fitzpatrick SJ, Perkins D, Handley T, Brown D, Luland T, Corvan E. Coordinating mental and physical health care in rural australia: an integrated model for primary care settings. Int J Integr Care. 2018;18(2):19. http://dx.doi.org/10.5334/ijic.3943. PMid:30127703. http://dx.doi.org/10.5334/ijic.3943...
, professional integration55 Costa MFBNAD, Andrade SR, Soares CF, Pérez EIB, Tomás SC, Bernardino E. The continuity of hospital nursing care for Primary Health Care in Spain. Rev Esc Enferm USP. 2019;53:e03477. http://dx.doi.org/10.1590/s1980-220x2018017803477. PMid:31291396. http://dx.doi.org/10.1590/s1980-220x2018...
,66 Aued GK, Bernardino E, Lapierre J, Dallaire C. Atividades das enfermeiras de ligação na alta hospitalar: uma estratégia para a continuidade do cuidado. Rev Lat Am Enfermagem. 2019;27:e3162. http://dx.doi.org/10.1590/1518-8345.3069.3162. PMid:31432917. http://dx.doi.org/10.1590/1518-8345.3069...
,1212 Fitzpatrick SJ, Perkins D, Handley T, Brown D, Luland T, Corvan E. Coordinating mental and physical health care in rural australia: an integrated model for primary care settings. Int J Integr Care. 2018;18(2):19. http://dx.doi.org/10.5334/ijic.3943. PMid:30127703. http://dx.doi.org/10.5334/ijic.3943...
, case management55 Costa MFBNAD, Andrade SR, Soares CF, Pérez EIB, Tomás SC, Bernardino E. The continuity of hospital nursing care for Primary Health Care in Spain. Rev Esc Enferm USP. 2019;53:e03477. http://dx.doi.org/10.1590/s1980-220x2018017803477. PMid:31291396. http://dx.doi.org/10.1590/s1980-220x2018...
,1212 Fitzpatrick SJ, Perkins D, Handley T, Brown D, Luland T, Corvan E. Coordinating mental and physical health care in rural australia: an integrated model for primary care settings. Int J Integr Care. 2018;18(2):19. http://dx.doi.org/10.5334/ijic.3943. PMid:30127703. http://dx.doi.org/10.5334/ijic.3943...
,1313 Wodchis WP, Dixon A, Anderson GM, Goodwin N. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis. Int J Integr Care. 2015;15(6):e021. https://doi.org/10.5334/ijic.2249. https://doi.org/10.5334/ijic.2249...
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