Models of Integrated Acute Care for Older Adult Inpatients That Incorporate Integrative Health: An Integrative Review
Eric Bonvin,1 Elodie Perruchoud,2 Nadine Tacchini-Jacquier,1 Jean Perrenoud,1 Pauline Melly,2 Sacha Celik,3 Michèle Jean,4 Henk Verloo2 1Valais Hospital Directorate 1950 SION, Valais, Switzerland; 2School of Health Sciences – Nursing Science (HES-SO – Valais) 1950 SION, Valais, Switzerland; 3Old Age...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-02-01
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| Series: | Journal of Multidisciplinary Healthcare |
| Subjects: | |
| Online Access: | https://www.dovepress.com/models-of-integrated-acute-care-for-older-adult-inpatients-that-incorp-peer-reviewed-fulltext-article-JMDH |
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| Summary: | Eric Bonvin,1 Elodie Perruchoud,2 Nadine Tacchini-Jacquier,1 Jean Perrenoud,1 Pauline Melly,2 Sacha Celik,3 Michèle Jean,4 Henk Verloo2 1Valais Hospital Directorate 1950 SION, Valais, Switzerland; 2School of Health Sciences – Nursing Science (HES-SO – Valais) 1950 SION, Valais, Switzerland; 3Old Age Psychiatry - Saint-Amé Clinic 1890 Saint-Maurice, Valais, Switzerland; 4Geriatrics - Saint-Amé Clinic 1890 Saint-Maurice, Valais, SwitzerlandCorrespondence: Henk Verloo, Email henk.verloo@hevs.chBackground: The use of integrated acute care for older adult inpatients is a growing field, especially the use of integrative health-care practices for managing complex, chronic, age-related health conditions. Scientific evidence suggests that these practices should be incorporated into older adult inpatients’ daily care.Aim: Conduct an integrative review of studies on integrated acute-care models for older adult inpatients that incorporate integrative health services.Methods: We searched Medline Ovid ALL, Embase.com, CINAHL, APA PsycINFO Ovid, Web of Science Core Collection, ProQuest Dissertations & Theses A&I, Cochrane Library, and CAMBase bibliographic databases for studies, published between 1990 and 2023, on integrated acute-care models for older adult inpatients that incorporated integrative health services. The search associated the domains of acute care, geriatrics, internal medicine, rehabilitation, hospitalization, geriatric psychiatry, integrated/integrative care, care models, practices and coordination, interprofessionalism and multidisciplinarity, collaborative practices, and complementary therapies. The review was completed in June 2024.Results: We retained 32 studies conducted in North America, Europe, Australia, and Asia, including 46,899 older adult inpatients, 39 physicians, 148 nurses, 695 allied health-care professionals, and 358 informal caregivers. Three integrated acute care models were identified: the Acute Care for Elders model, the Integrated General Hospital model, and the Transitional Care model. Three integrated acute psychogeriatric-care models were identified: the Admiral Nursing model, the Lewy body dementia Admiral nursing service model, and the Care for Acute Mentally Infirm Elders model. A single, hybrid, Integrated, People-Centred Health Services model for acute and community health care was identified. We found the Scaling Integrated Care in Context model for measuring integrated care development within health-care systems.Conclusion: Few studies have investigated integrated acute-care models incorporating integrative health services for older adult inpatients. Existing acute-care models including integrative medicine should be explored further, and new, more inclusive models should be developed.Keywords: integrated care, integration, acute care, geriatrics, geriatric psychiatry, complementary medicine, integrative health, care models |
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| ISSN: | 1178-2390 |