Skip to main content
. 2021 Jan 8;11(1):e040057. doi: 10.1136/bmjopen-2020-040057

Table 2.

Intervention components

Study Predischarge components Bridging components Postdischarge components
Patient assessment Personal health record and/or plan Education Medication reconciliation Physical exercise Address concerns and/or barriers Counselling Discharge planning Nutrition screening Caregiver involvement Home visit to assess future needs Multidisciplinary care In- person hand -over Written hand -over Telephone hand -over Community -based nurse visits hospital Communications path unknown Number of home visits Number of telephone follow- up Nurse availability Referral to additional services Intensive community support Intervention intensity
Buurman et al24 + + + + + 5* 9
Chow et al22† + + + 2* 2 6
Chow et al22‡ + + + 4 6
Courtney et al25 + + + + + + + 1*§, 9 12
Finlayson et al23 + + + + + 6** 10
Finlayson et al23†† + + + + + 1*§ 10 + 12
Finlayson et al23‡‡ + + + + + + 1*§
6**		 10 + 12
Koehler et al26 + + + + + + + + + 2§§ 7
Lin et al31¶¶ + + + ?*** ? 6
Lin et al31††† + + + +‡‡‡ + 5
Nielsen et al28 + +‡‡‡ + + 1* 4
Robinson et al32 + +§§§ +§§§ + + + +‡‡‡ 2¶¶¶ 7
Rottman-Sagebiel et al29 +§§§ +§§§ + + + +‡‡‡ 1 +‡‡‡ 6
Sahota et al27 + + + + + 1§*** +‡‡‡ 3
Voss et al30 + + 1* 3 7

?, number not reported.

*First visit within 3 days after discharge.

†Postdischarge home visit group.

‡Postdischarge call group.

§Additional home visits available if needed.

¶Exercise intervention.

**By physiotherapist.

††N-Hat (nurse home visit and telephone follow-up) intervention.

‡‡Ex-Hat (exercise and nurse home visit and telephone follow-up) intervention.

§§One call by nurse and one call by pharmacist.

¶¶ICM case management group.

***Time for first home visit unknown.

†††HST service group.

‡‡‡If deemed necessary.

§§§By pharmacist.

¶¶¶To participants who return to independent living.