The Bridge Care Model: Transitional Care for Persons Experiencing Houselessness
Author Information
Author(s): Leutwyler Heather, Cuffaro Taylor
Primary Institution: University of California San Francisco
Hypothesis
Can a nurse-led transitional care model reduce hospital visits and improve health outcomes for older adults experiencing houselessness?
Conclusion
UCSF Street Nursing is a promising nurse-led novel approach to care for unhoused older adults with potential to reduce hospitalization and improve health for an overlooked population.
Supporting Evidence
- The average age of the 58 patients referred to the practice was 52 years.
- The program produced a greater than 50% reduction in ED visits in the first 6 months following discharge.
Takeaway
This study shows that a special nursing program can help older people without homes stay healthier and visit the hospital less.
Methodology
Patients were met in the emergency department or in-patient prior to discharge and followed for 6-12 months, with various clinical activities provided.
Participant Demographics
The average age of the patients was 52 years, indicating an older adult population.
Digital Object Identifier (DOI)
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