Issues concerning the on-going care of patients with comorbidities in acute care and post-discharge in Australia: a literature review

Williams, A. and Botti, Mari 2002, Issues concerning the on-going care of patients with comorbidities in acute care and post-discharge in Australia: a literature review, Journal of advanced nursing, vol. 40, no. 2, pp. 131-140.

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Title Issues concerning the on-going care of patients with comorbidities in acute care and post-discharge in Australia: a literature review
Author(s) Williams, A.
Botti, Mari
Journal name Journal of advanced nursing
Volume number 40
Issue number 2
Start page 131
End page 140
Publisher Blackwell Science Ltd
Place of publication Oxford, England
Publication date 2002-10-03
ISSN 0309-2402
Keyword(s) acute
chronic illness
comorbidities
care
continuity
co-ordinated
episodic
economics
health services
Summary Issues concerning the on-going care of patients with comorbidities in acute care and post-discharge in Australia: a literature review

Background.
Advances in medical science and improved lifestyles have reduced mortality rates in Australia and most western countries. This has resulted in an ageing population with a concomitant growth in the number of people who are living with chronic illnesses. Indeed a significant number of younger people experience more than one chronic illness. Large numbers of these may require repeated admissions to hospital for acute or episodic care that is superimposed upon the needs of their chronic conditions.

Aim.
To explore the issues that circumscribe the complexities of caring for people with concurrent chronic illnesses, or comorbidities, in the acute care setting and postdischarge.

Methods. A literature review to examine the issues that impact upon the provision of comprehensive care to patients with comorbidities in the acute care setting and postdischarge.

Findings. Few studies have investigated this subject. From an Australian perspective, it is evident that the structure of the current health care environment has made it difficult to meet the needs of patients with comorbidities in the acute care setting and postdischarge. This is of major concern for nurses attempting to provide comprehensive care to an increasingly prevalent group of chronically ill people.

Conclusion. Further research is necessary to explore how episodic care is integrated into the on-going management of patients with comorbidities and how nurse clinicians can better use an episode of acute illness as an opportunity to review their overall management.
Language eng
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2002, Blackwell Science Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30008538

Document type: Journal Article
Collection: School of Nursing and Midwifery
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