A Concept Analysis of Transitions of Care for Population Health

Laura Caramanica, Toby Bressler, Cecily L. Betz, Margarete L. Zalon, Deborah Shelton, Linda L. Chlan, Sarah Miner, Cynthia Arslanian-Engoren

Research output: Contribution to journalArticle

Abstract

Background: Compelling evidence indicates that gaps in quality, safety, and experiences occur when patients encounter transitions across the care continuum. Differences in the organization of healthcare services as well as disparities in health across the globe, may have a unique impact on processes associated with transitions of care for client populations. Purpose: Increased attention to the concept of transitions of care has resulted in disparate meanings and lack of clarity about its nature. Therefore, the purpose of this manuscript is to address this knowledge gap by analyzing the concept of transitions of care at the population level. Methodology: To address the knowledge gap of what constitutes transitions of care at the population level, a concept analysis was done guided by the methodology of Walker and Avant. A comprehensive search of the literature yielded a small but relevant number of publications. Results: This analysis identified four defining attributes, together with antecedents and consequences of transitions of care at the macro-system level of healthcare. A synthesized definition of transitions of care was developed. Implications for Practice: This analysis provides conceptual clarity for the concept of transitions of care at the macro-system level of care. It can be used to guide the development of a middle-range theory to inform clinical practice and health policy.

Original languageEnglish (US)
Pages (from-to)257-274
Number of pages18
JournalResearch and Theory for Nursing Practice
Volume33
Issue number3
DOIs
StatePublished - Aug 1 2019

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Keywords

  • concept analysis
  • continuity of care
  • coordination of care
  • population health
  • transitions of care

ASJC Scopus subject areas

  • Research and Theory

Cite this

Caramanica, L., Bressler, T., Betz, C. L., Zalon, M. L., Shelton, D., Chlan, L. L., Miner, S., & Arslanian-Engoren, C. (2019). A Concept Analysis of Transitions of Care for Population Health. Research and Theory for Nursing Practice, 33(3), 257-274. https://doi.org/10.1891/1541-6577.33.3.257