Table 1.
1st Author, year | Country | Study design | Time for data collection | Setting | Multimorbidity | Type of participants | No. of participant (%men) | Age mean +/− sd, median, {range}, (age-groups) | Objectives | Quality rating: repor-ted/items |
---|---|---|---|---|---|---|---|---|---|---|
Andreasen, 2015 [22] | Denmark | Interviews | 1 week after discharge | Primary to secondary | Tilburg Frailty Indicator + comorbidity | Acutely admitted frail elderly | 14 (50) | 80.6, {69–93} | “was to explore how the frail elderly experience daily life 1 week after discharge from an acute admission to the hospital” | 11/11 |
Arendts, 2015 [21] | Australia | Interviews | When resident were able to do the interview | Secondary to primary | Unclear* | Residents of Residential Aged Care facilities (RACF) | 11 (18) | 88 | “to capture and interpret the perspectives of three important decision-making groups concerning the transfer of residents from RACF to Emergency department; to understand how the perspectives of these converge and diverge; and to explore shared decision-making and the extent to which there was delegation of transfer decisions to others” | 8/11 |
Bayliss, 2008 [23] | USA | Interviews | Unclear | Secondary | Three target conditions (diabetes, depression, osteoarthritis) + self-reported condition | Members of a not- for-profit Health Maintenance Organization | 26 (50) | (65–84) | “was to explore patient perspectives on components of ‘best’ Processes of care for persons with multiple morbidities in order to inform the development of future interventions to improve care” | 8/11 |
Butterworth, 2014 [24] | United Kingdom | Interviews | Unclear | Secondary | 14 participants had one or more chronic diseases | Registered with surgery for at least 6 month | 20 (45) |
(65–74), (75–84), (85–94) |
“to investigate the association between older patients’ trust in their general practitioner and their perceptions of shared decision-making.” | 8/11 |
Foss, 2011 [25] | Norway | Face to face questionnaire | 2–3 weeks after discharge | Primary to secondary | Unclear* | Patients discharged from hospitals | 254 (31.5) | 86.9 +/− 4.9 | “was to describe older hospital patients’ discharge experiences concerning participation in discharge planning” | 10/11 |
Gabrielsson-Järhult, 2016 [26] | Sweden | Observations and discharge meeting material | Before discharge | Primary to secondary | Unclear* | Admitted to hospital and about to be discharged | 27 (37) | 81 | “was to explore older people’s concerns about their needs as expressed in a discharge planning meeting at a hospital” | 10/11 |
Gill, 2014 [27] | Canada | Interviews | Unclear | Primary to secondary | Two or more chronic conditions | Patients from a family health team | 27 (56) | 82.3 +/− 7.7 | “was to explore the challenges experienced by 27 patients-caregivers-family physician triads in an attempt to capture a full understanding of their health system experience and to illuminate where system improvements are most needed for managing multimorbidity” | 11/11 |
Neiterman, 2015 [28] | Canada | Interviews | 2–5 weeks post discharge | Primary to secondary | Lace score 10 or higher | Patients discharged from acute care hospital | 17 (58) | (70–89) | “was to understand how patients and their caregivers experienced the transition to community and which barriers and facilitators they identified on their way to recovery” | 11/11 |
Sheaff, 2017 [29] | United Kingdom | Interviews | May 2012–November 2013 | Primary to secondary | Two or more specified chronic conditions | Patient who had been admitted within a year and who had received care from 2 separate healthcare services | 66(NA) | 78, (65 or older) | “was to analyze what information was changed or lost in communication between clinicians and a group of frail older patients in England, and some implications for care coordination and continuity” | 6/11 |
*Included because we know that among those aged more than 85 years, 82% are patients with multimorbidity