RT Journal Article
T1 Defining the characteristics of intermediate care models including transitional care: an international Delphi study.
A1 Sezgin, Duygu
A1 O'Caoimh, Rónán
A1 O'Donovan, Mark R
A1 Salem, Mohamed A
A1 Kennelly, Siobhán
A1 Samaniego, Luz Lopez
A1 Carda, Cristina Arnal
A1 Rodriguez-Acuña, Rafael
A1 Inzitari, Marco
A1 Hammar, Teija
A1 Holditch, Claire
A1 Bettger, Janet Prvu
A1 Vernon, Martin
A1 Carroll, Áine
A1 Gradinger, Felix
A1 Perman, Gaston
A1 Wilson, Martin
A1 Vella, Antoine
A1 Cherubini, Antonio
A1 Tucker, Helen
A1 Fantini, Maria Pia
A1 Onder, Graziano
A1 Roller-Wirnsberger, Regina
A1 Gutiérrez-Robledo, Luis Miguel
A1 Cesari, Matteo
A1 Bertoluci, Paula
A1 Kieliszek, Magdalena
A1 van der Vlegel-Brouwer, Wilma
A1 Nelson, Michelle
A1 Mañas, Leocadio Rodríguez
A1 Antoniadou, Eleftheria
A1 Barriere, François
A1 Lindblom, Sebastian
A1 Park, Grace
A1 Pérez, Isidoro
A1 Alguacil, Dolores
A1 Lowdon, Douglas
A1 Alkiza, Maria Eugenia
A1 Bouzon, Cristina Alonso
A1 Young, John
A1 Carriazo, Ana
A1 Liew, Aaron
A1 Hendry, Anne
A1 European Union Advantage Joint Action Work Package 7 partners in collaboration with the International Foundation for Integrated Care Special Interest Group on Intermediate Care, 
K1 Care models
K1 Definition
K1 Delphi technique
K1 Integrated care
K1 Intermediate care
K1 Older adults
K1 Transitional care
AB Although there is growing utilisation of intermediate care to improve the health and well-being of older adults with complex care needs, there is no international agreement on how it is defined, limiting comparability between studies and reducing the ability to scale effective interventions. To identify and define the characteristics of intermediate care models. A scoping review, a modified two-round electronic Delphi study involving 27 multi-professional experts from 13 countries, and a virtual consensus meeting were conducted. Sixty-six records were included in the scoping review, which identified four main themes: transitions, components, benefits and interchangeability. These formed the basis of the first round of the Delphi survey. After Round 2, 16 statements were agreed, refined and collapsed further. Consensus was established for 10 statements addressing the definitions, purpose, target populations, approach to care and organisation of intermediate care models. There was agreement that intermediate care represents time-limited services which ensure continuity and quality of care, promote recovery, restore independence and confidence at the interface between home and acute services, with transitional care representing a subset of intermediate care. Models are best delivered by an interdisciplinary team within an integrated health and social care system where a single contact point optimises service access, communication and coordination. This study identified key defining features of intermediate care to improve understanding and to support comparisons between models and studies evaluating them. More research is required to develop operational definitions for use in different healthcare systems.
YR 2020
FD 2020-05-19
LK http://hdl.handle.net/10668/15602
UL http://hdl.handle.net/10668/15602
LA en
DS RISalud
RD May 25, 2025