Transitional Care

Wingecarribee Health Service model for transitional care.

The Wingecarribee Health Service (WHS) has developed a program of ambulatory care different from the commonly accepted models. The program provides a "whole service" approach to care, with integration of hospital, allied health and community services in partnership with other key stakeholders such as general practitioners (GPs) and non-government organisations (NGOs). It departs from the medica...

Transitional care management in the outpatient setting

Patients who are high risk high cost (HRHC), those with severe or multiple medical issues, and the chronically ill elderly are major drivers of rising health care costs.1 The HRHC patients with complex health conditions and functional limitations may likely go to emergency rooms and hospitals, need more supportive services, and use long-term care facilities.2 As a result, these patient populati...

Transitional care in inflammatory bowel disease.

Transitional care is an organized effort to provide pediatric patients with the tools and resources they need to assume personal responsibility for their medical care while facilitating their transfer from a pediatrician to an adult practitioner. Since inflammatory bowel disease (IBD) is usually chronic and up to 25% of IBD patients are diagnosed before the age of 18 years, transitional care is...

Health and health care in transitional Europe.

In December 2004 we called for papers that would document the impact on population health and on health systems of the transition from communism in Europe and central Asia. Over the past 18 months, a series of events has focused the eyes of the world on this region. May 2004 saw the historic enlargement of the European Union. In Georgia, Ukraine, and Kyrgyzstan, popular uprisings have led to th...

Investing in primary care as the bridge for transitional care.