PhD conferral Estera Wieczorek
Supervisors: Prof. dr. Silvia Evers, Prof. dr. Christoph Sowada
Co-supervisors: Dr. Ewa Kocot, Prof. dr. Milena Pavlova
Keywords: Older adults, transitional care, care coordination, long-term care
"Organizational and financial aspects affecting care transitions in long-term care systems analysis of selected European countries"
Poor quality and avoidable care transitions but also avoiding care transitions that are necessary might result in compromised patient outcomes, adverse events, rehospitalizations, and increased costs for health and care systems. At present, patients and their informal caregivers often experience suboptimal care transitions in long-term care systems. This thesis focused on the organizational and financial aspects that affect care transition in long-term care systems, and the challenges related to care transition in selected European countries. At present, care transitions of older adults in Germany, the Netherlands and Poland are not optimal. Organizational challenges such as communication, transfer of information, and coordination of resources have an immense impact on care transitions and need urgent attention in the three countries. Among financial challenges, particularly, the way we reimburse care providers, the level of reimbursement and the amount that patients have to pay for care affect care transitions in Germany, the Netherlands and Poland.
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