Chinese Journal of Hospital Administration 2017;33(6):475-478

doi:10.3760/cma.j.issn.1000-6672.2017.06.024

Coach-led transitional care of elderlies in the United States:Intervention model

Lamei LIU ; Huilan LI

Keywords

United States of America; Coach-led; Elderlies; Transitional care; Intervention

Country

China

Language

Chinese

Abstract

This paper detailed the Coleman concept and practice of coach-led transitional care of elderlies,team members and their responsibilities,intervention aspects and main tasks,as well as the intervention program and its effect analysis.Then the authors analyzed the present transitional care development in China,and recommended on development of a likewise care model for senior chronic disease patients in the country,such as building multi-disciplinary transitional care teams to provide uninterrupted care and service,encourage patients and caregivers to embrace self-management of diseases,and build an appraisal mechanism to ensure quality of care.