Telephonic Transitional Care Model Analysis

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Converting Theory into Practice Using a Telephonic Transitional Care Model for Older Adults The purpose of the Naylor, et.al., (2013) study was to evaluate the impact of integrating a Transitional Care Model for older adults into a large healthcare plan. Key findings included short-term reductions in monthly healthcare costs and improved health status and quality of life measures for participants post-intervention. The researchers used a conceptual framework as the basis for this study. This framework included determining whether the clinical and economic outcomes observed in National Institutes of Health-funded RCTs could be replicated in the ‘real world’ of clinical practice and health plan financing. The study methodology was a quasi-experimental …show more content…

Primary health problems at the time of enrolment into the TCM were 43% heart failure, 25% ischemic heart disease, 13% chronic obstructive pulmonary disease, 7% diabetes and 12% other conditions. To compare ordinal data, the Wilcoxon sum tests were used, and t-tests were used for interval or ratio data. Propensity modelling was used to ensure the control and experimental groups were equally represented in demographics, socio-economic status and geographical characteristics. Study findings confirm earlier results regarding the effectiveness of the TCM in enhancing health outcomes and satisfaction with care among chronically ill older …show more content…

el., (2011) attempted to identify factors related to distance that impede access to care for rural veterans. A total of 101 veterans consented of which 96 completed quantitative surveys and 42 completed in-depth interviews. Additionally, 114 clinic staff and providers consented, with 88 completing quantitative surveys and 42 completing in-depth Researchers used a Mixed-methods approach including surveys, in-depth interviews and focus groups to gather data. Using a coding system to quantify qualitative data they were able to identify that barriers centered around distance were work related, travel costs and functional impairments Assessing the Studies Most of the researchers used a mixed method of qualitative and quantitative research methods. Quantitative research was primarily used when gathering demographic data, surveys or telephonic monitoring. However, in these same studies, more qualitative methods such as focus groups and team meetings were also used. It was noted mixed methods of research design was also reflective of the conceptual frameworks guiding most of the studies since their conceptual approaches to study were built from mostly theoretical ideas. Tsai et.al. (2014) reviewed medical records of over 19,000 participants but their research design methods were based in observational study samples and telephonic surveys. Buzza et.al (2011) also used a mixed research design for their study including

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