An integrative review of measures of transitions and care coordination for persons living with dementia and their caregivers
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Introduction: High rates of hospital visits and readmissions are common among persons living with dementia, resulting in frequent transitions in care and care coordination. This paper identifies and evaluates existing measures of transitions and care coordination for persons living with dementia and their caregivers. Methods: This integrative review builds off a prior review using a systematic search of online databases (PubMed, EBSCO, CINAHL, PsycInfo, and Scopus) to identify records and locate reports (or articles) that use measures of care transitions and care coordination. Identified measures were compared to the Alzheimer's Association's Dementia Care Practice Recommendations to evaluate strengths and weaknesses of the measure in this population, such as if measures were person‐ and family‐centered. Results: Seventy‐one reports using measures of transitions in care and care coordination for persons living with dementia and their caregivers were identified. There were multiple measures identified in some reports. Three main areas of measures were classified into: identification of the population (3 measures, 8 reports), transitional care and care coordination delivery (14 measures, 17 reports), and transitional care and care coordination outcomes (e.g., health‐care use, cost, and mortality; 17 measures, 60 reports). A strength of the three main areas of measures was that a portion of the measures were person‐ and family‐centered. Variability in the operational definitions of some measures and time intensiveness of collecting the measure (e.g., number of items, the time it takes to complete the items) were common weaknesses. Discussion: Transitions and care coordination measures are varied across studies targeted at persons living with dementia and their caregivers. Existing measures focus heavily on outcomes, specifically health‐care resource use, and cost, rather than the elements of transitional care or care coordination. Future measure development focused on care transitions and service coordination is needed.
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When interventions exist, they primarily focus on outcomes such as healthcare resource use or cost rather than elements of care coordination.
“Furthermore, when interventions exist, they primarily focus on outcomes such as healthcare resource use or cost rather than elements of care coordination [105].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [105]
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The PRISMA 2020 statement: An updated guideline for reporting systematic reviews
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., et al. (2021) · BMJ · doi:10.1136/bmj.n71 · Cited by 108,283 · see citing works
The integrative review: updated methodology
Whittemore, R., & Knafl, K. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03621.x · Cited by 10,241 · see citing works
2022 Alzheimer's disease facts and figures
Anonymous (2022) · Alzheimer s & Dementia · doi:10.1002/alz.12638 · Cited by 2,384 · see citing works
Healthcare Cost and Utilization Project (HCUP)
Schmidt, A. S. (2016) · The SAGE Encyclopedia of Pharmacology and Society · doi:10.4135/9781483349985.n182 · Cited by 1,057 · see citing works
Mutuality and preparedness as predictors of caregiver role strain.
Archbold, P., Stewart, B., Greenlick, M., & Harvath, T. (1990) · Research in Nursing and Health · doi:10.1002/nur.4770130605 · Cited by 900 · see citing works
A Family Intervention to Delay Nursing Home Placement of Patients With Alzheimer Disease
Mittelman, M. S. (1996) · JAMA · doi:10.1001/jama.1996.03540210033030 · Cited by 825 · see citing works
Effectiveness of Collaborative Care for Older Adults With Alzheimer Disease in Primary Care
Callahan, C. M., Boustani, M. A., Unverzagt, F. W., Austrom, M. G., Damush, T. M., Perkins, A. J., Fultz, B. A., Hui, S. L., Counsell, S. R., & Hendrie, H. C. (2006) · JAMA · doi:10.1001/jama.295.18.2148 · Cited by 799 · see citing works
The Fundamentals of Person-Centered Care for Individuals With Dementia
Fazio, S., Pace, D. D., Flinner, J., & Kallmyer, B. A. (2017) · The Gerontologist · doi:10.1093/geront/gnx122 · Cited by 652 · see citing works
Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease
Mittelman, M. S., Haley, W. E., Clay, O. J., & Roth, D. L. (2006) · Neurology · doi:10.1212/01.wnl.0000242727.81172.91 · Cited by 602 · see citing works
Association of Incident Dementia With Hospitalizations
Phelan, E. A., Borson, S., Grothaus, L., Balch, S., & Larson, E. B. (2012) · JAMA · doi:10.1001/jama.2011.1964 · Cited by 547 · see citing works
Assessing the Quality of Preparation for Posthospital Care from the Patient??s Perspective
Coleman, E. A., Mahoney, E. R., & Parry, C. (2005) · Medical Care · doi:10.1097/00005650-200503000-00007 · Cited by 409 · see citing works
Black, B. S., Johnston, D., Rabins, P. V., Morrison, A., Lyketsos, C., & Samus, Q. M. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12549 · Cited by 335 · see citing works
The Age‐Friendly Health System Imperative
Fulmer, T. T., Mate, K. S., & Berman, A. J. (2017) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15076 · Cited by 314 · see citing works
Naylor, M., & Keating, S. A. (2008) · AJN, American Journal of Nursing · doi:10.1097/01.naj.0000336420.34946.3a · Cited by 309 · see citing works
Effect of the Goals of Care Intervention for Advanced Dementia: A Randomized Clinical Trial
Hanson, L. C., Zimmerman, S., Song, M.-K., Lin, F.-C., Rosemond, C., Carey, T. S., & Mitchell, S. L. (2017) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2016.7031 · Cited by 275 · see citing works
Possin, K. L., Merrilees, J. J., Dulaney, S., Bonasera, S. J., Chiong, W., Lee, K., Hooper, S. M., Allen, I. E., Braley, T., Bernstein, A., et al. (2019) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2019.4101 · Cited by 272 · see citing works
A Randomized Trial of Family Caregiver Support in the Home Management of Dementia
Mohide, E. A., Pringle, D. M., Streiner, D. L., Gilbert, J. R., Muir, G., & Tew, M. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb03544.x · Cited by 184 · see citing works
Samus, Q. M., Johnston, D. M., Black, B. S., Hess, E., Lyman, C. H., Vavilikolanu, A., Pollutra, J., Leoutsakos, J., Gitlin, L. N., Rabins, P. V., et al. (2014) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2013.12.175 · Cited by 156 · see citing works
Schultz, E. M., & McDonald, K. M. (2014) · International Journal of Care Coordination · doi:10.1177/2053435414540615 · Cited by 147 · see citing works
Verbeek, H., Zwakhalen, S. M. G., van Rossum, E., Ambergen, T., Kempen, G. I. J. M., & Hamers, J. P. H. (2010) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2010.08.001 · Cited by 140 · see citing works
Mittelman, M. S. (1996) · JAMA · doi:10.1001/jama.276.21.1725 · Cited by 139 · see citing works
Evidence-Based Interventions for Transitions in Care for Individuals Living With Dementia
Hirschman, K. B., & Hodgson, N. A. (2018) · The Gerontologist · doi:10.1093/geront/gnx152 · Cited by 129 · see citing works
Self-citationChien, W. T., & Lee, I. Y. M. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05537.x · Cited by 128 · see citing works
Dröes, R., Breebaart, E., Meiland, F. J. M., van Tilburg, W., & Mellenbergh, G. J. (2004) · Aging & Mental Health · doi:10.1080/13607860410001669732 · Cited by 124 · see citing works
Effects of Supporting Community‐Living Demented Patients and Their Caregivers: A Randomized Trial
Eloniemi-Sulkava, U. R., Notkola, I.-L. K., Hentinen, M., Kivelä, S., Sivenius, J., & Sulkava, R. O. (2001) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2001.49255.x · Cited by 123 · see citing works
Bass, D. M., Judge, K. S., Snow, A. L., WILSON, N. L., Morgan, R. O., Looman, W. J., McCarthy, C. A., Maslow, K., Moye, J. A., Randazzo, R., et al. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12362 · Cited by 120 · see citing works
Care management, dementia care and specialist mental health services: an evaluation
Challis, D., von Abendorff, R., Brown, P., Chesterman, J., & Hughes, J. (2002) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.595 · Cited by 118 · see citing works
Judge, K. S., Bass, D. M., Snow, A. L., WILSON, N. L., Morgan, R. O., Looman, W. J., McCarthy, C. A., & Kunik, M. E. (2011) · The Gerontologist · doi:10.1093/geront/gnq097 · Cited by 116 · see citing works
Transitions in Care in a Nationally Representative Sample of Older Americans with Dementia
Callahan, C. M., Tu, W., Unroe, K. T., LaMantia, M. A., Stump, T. E., & Clark, D. O. (2015) · Journal of the American Geriatrics Society · doi:10.1111/jgs.13540 · Cited by 107 · see citing works
The Cleveland Alzheimer's Managed Care Demonstration: Outcomes After 12 Months of Implementation
Bass, D. M., Clark, P. A., Looman, W. J., McCarthy, C. A., & Eckert, S. (2003) · The Gerontologist · doi:10.1093/geront/43.1.73 · Cited by 106 · see citing works
Moniz-Cook, E. D., Agar, S. E., GIBSON, G., Win, T., & WANG, M. (1998) · Aging & Mental Health · doi:10.1080/13607869856687 · Cited by 101 · see citing works
Eloniemi-Sulkava, U. R., Saarenheimo, M., Laakkonen, M., Pietilä, M., Savikko, N. M., Kautiainen, H., Tilvis, R. S., & Pitkälä, K. H. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2009.02564.x · Cited by 100 · see citing works
Triggered palliative care for late-stage dementia: A pilot randomized trial
Hanson, L. C., Kistler, C. E., Lavin, K., Gabriel, S. L., Ernecoff, N. C., Lin, F.-C., Sachs, G. A., & Mitchell, S. L. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.10.494 · Cited by 92 · see citing works
Naylor, M. D., Hirschman, K. B., Hanlon, A. L., Bowles, K. H., Bradway, C., McCauley, K. M., & Pauly, M. V. (2014) · Journal of Comparative Effectiveness Research · doi:10.2217/cer.14.14 · Cited by 91 · see citing works
Self-citationMeasuring Quality of Life: A New and Practical Survey Instrument
Greenley, J. R., Greenberg, J. S., & Brown, R. (1997) · Social Work · doi:10.1093/sw/42.3.244 · Cited by 89 · see citing works
Phung, T. K. T., Waldorff, F. B., Buss, D. V., Eckermann, A., Keiding, N., Rishøj, S., Siersma, V., Sørensen, J., Søgaard, R., Sørensen, L. V., et al. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-003584 · Cited by 82 · see citing works
Care Coordination for Cognitively Impaired Older Adults and Their Caregivers
Naylor, M. D., Hirschman, K. B., Bowles, K. H., Bixby, M. B., Konick-McMahan, J., & Stephens, C. E. (2007) · Home Health Care Services Quarterly · doi:10.1300/j027v26n04_05 · Cited by 79 · see citing works
Self-citationNobili, A., Riva, E., Tettamanti, M., Lucca, U., Liscio, M., Petrucci, B., & Porro, G. S. (2004) · Alzheimer Disease & Associated Disorders · doi:10.1097/01.wad.0000126618.98867.fc · Cited by 78 · see citing works
Effects of the NYU Caregiver Intervention-Adult Child on Residential Care Placement
Gaugler, J. E., Reese, M., & Mittelman, M. S. (2013) · The Gerontologist · doi:10.1093/geront/gns193 · Cited by 77 · see citing works
Andrén, S., & Elmståhl, S. (2008) · International Psychogeriatrics · doi:10.1017/s1041610208007503 · Cited by 76 · see citing works
Effects of the Medicare Alzheimer's Disease Demonstration on nursing home entry.
Miller, R. H., Newcomer, R., & Fox, P. J. (1999) · PubMed · Cited by 75 · see citing works
National Trends in Potentially Preventable Hospitalizations of Older Adults with Dementia
Anderson, T. S., Marcantonio, E. R., McCarthy, E. P., & Herzig, S. J. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16636 · Cited by 69 · see citing works
The Role of Care Navigators Working with People with Dementia and Their Caregivers
Bernstein, A., Harrison, K. L., Dulaney, S., Merrilees, J., Bowhay, A., Heunis, J., Choi, J., Feuer, J. E., Clark, A. M., Chiong, W., et al. (2019) · Journal of Alzheimer’s Disease · doi:10.3233/jad-180957 · Cited by 67 · see citing works
Woods, B. T., Wills, W., Higginson, I. J., Hobbins, J., & Whitby, M. (2003) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.822 · Cited by 65 · see citing works
A controlled trial of Partners in Dementia Care: veteran outcomes after six and twelve months
Bass, D. M., Judge, K. S., Snow, A. L., WILSON, N. L., Morgan, R. O., Maslow, K., Randazzo, R., Moye, J. A., Odenheimer, G. L., Archambault, E. G., et al. (2014) · Alzheimer s Research & Therapy · doi:10.1186/alzrt242 · Cited by 65 · see citing works
Amjad, H., Wong, S. K., Roth, D. L., Huang, J., Willink, A., Black, B. S., Johnston, D. M., Rabins, P. V., Gitlin, L. N., Lyketsos, C. G., et al. (2017) · Health Services Research · doi:10.1111/1475-6773.12647 · Cited by 64 · see citing works
Outcomes for patients with dementia from the Cleveland Alzheimer's Managed Care Demonstration
Clark, P. A., Bass, D. M., Looman, W. J., McCarthy, C. A., & Eckert, S. (2004) · Aging & Mental Health · doi:10.1080/13607860310001613329 · Cited by 62 · see citing works
Effects of the Medicare Alzheimer's Disease Demonstration on the use of community-based services.
Newcomer, R., Spitalny, M., Fox, P. J., & Yordi, C. (1999) · Europe PMC (PubMed Central) · Cited by 61 · see citing works
Livingston, G., Manela, M., O'Keeffe, A., Rapaport, P., Cooper, C., Knapp, M., King, D., Romeo, R., Walker, Z., Hoe, J., et al. (2020) · The British Journal of Psychiatry · doi:10.1192/bjp.2019.160 · Cited by 61 · see citing works
The use of clinical case management for early stage Alzheimer' patients and their families
Chu, P., Edwards, J., Levin, R., & Thomson, J. (2000) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750001500506 · Cited by 59 · see citing works
Institutionalization of Alzheimer's Disease Patients
Ferris, S. H., Steinberg, G., Shulman, E., Kahn, R. L., & Reisberg, . (1987) · Home Health Care Services Quarterly · doi:10.1300/j027v08n01_03 · Cited by 53 · see citing works
Abbott, K. H., Klumpp, R., Leser, K. A., et al. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2017.10.005 · Cited by 52 · see citing works
Bellantonio, S., Kenny, R. A., Fortinsky, R. H., Kleppinger, A., Robison, J. T., Gruman, C., Kulldorff, M., & Trella, P. M. (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01591.x · Cited by 50 · see citing works
Vickrey, B. G., Mittman, B. S., Connor, K. I., Pearson, M. L., Della Penna, R. D., Ganiats, T. G., DeMonte, R. W., Chodosh, J., Cui, X., Vassar, S., et al. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-145-10-200611210-00004 · Cited by 44 · see citing works
Koivisto, A. M., Hallikainen, I. T., Välimäki, T. H., Hongisto, K., Hiltunen, A., Karppi, P., Sivenius, J., Soininen, H. S., & Martikainen, J. A. (2015) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4321 · Cited by 43 · see citing works
Tremont, G. N., Davis, J. D., Ott, B. R., Galioto, R., Crook, C. L., Papandonatos, G. D., Fortinsky, R. H., Gozalo, P. L., & Bishop, D. S. (2016) · Journal of the American Geriatrics Society · doi:10.1111/jgs.14684 · Cited by 43 · see citing works
Bass, D. M., Judge, K. S., Maslow, K., WILSON, N. L., Morgan, R. O., McCarthy, C. A., Looman, W. J., Snow, A. L., & Kunik, M. E. (2015) · Alzheimer s & Dementia Translational Research & Clinical Interventions · doi:10.1016/j.trci.2015.03.003 · Cited by 41 · see citing works
Johnson, D. K., Niedens, M., Wilson, J. R., Swartzendruber, L., Yeager, A., & Jones, K. M. (2012) · The Gerontologist · doi:10.1093/geront/gns104 · Cited by 40 · see citing works
CONTINUUM OF CARE FOR ALZHEIMER'S DISEASE: A NURSE EDUCATION AND COUNSELING PROGRAM
Wright, L. K., Litaker, M., Laraia, M. T., & DeAndrade, S. (2001) · Issues in Mental Health Nursing · doi:10.1080/01612840152053084 · Cited by 40 · see citing works
Gaugler, J. E., Reese, M., & Mittelman, M. S. (2015) · The Gerontologist · doi:10.1093/geront/gnu125 · Cited by 39 · see citing works
Randomised controlled trial of a family‐led mutual support programme for people with dementia
Wang, L., & Chien, W. T. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03746.x · Cited by 37 · see citing works
D’Souza, M. F., Davagnino, J., Hastings, S. N., Sloane, R. J., Kamholz, B. A., & Twersky, J. (2015) · Journal of the American Geriatrics Society · doi:10.1111/jgs.13448 · Cited by 34 · see citing works
O'Brien, J. T., Ames, D. J., Schweitzer, I., Desmond, P. M., Coleman, P. G., & Tress, B. M. (1997) · International Journal of Geriatric Psychiatry · doi:10.1002/(sici)1099-1166(199702)12:2 · Cited by 32 · see citing works
Scales for the Evaluation of End-of-Life Care in Advanced Dementia
Kiely, D. K., Shaffer, M. L., & Mitchell, S. L. (2012) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0b013e318247c41b · Cited by 31 · see citing works
Lessons Learned from the Medicare Alzheimer Disease Demonstration
Fox, P., Newcomer, R. J., Yordi, C., & Arnsberger, P. (2000) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-200004000-00006 · Cited by 30 · see citing works
Cost-Effective Care Coordination for People With Dementia at Home
Willink, A., Davis, K. C., Johnston, D. M., Black, B. S., Reuland, M., Stockwell, I., Amjad, H., Lyketsos, C. G., & Samus, Q. M. (2020) · Innovation in Aging · doi:10.1093/geroni/igz051 · Cited by 27 · see citing works
Joling, K. J., van Marwijk, H., van der Horst, H. E., Scheltens, P., van de Ven, P. M., Appels, B. A., & van Hout, H. P. J. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042145 · Cited by 26 · see citing works
Tropea, J., Nestel, D., Johnson, C., Hayes, B. J., Hutchinson, A. F., Brand, C. A., Le, B. H. C., Blackberry, I., Caplan, G. A., Bicknell, R., et al. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-02809-x · Cited by 25 · see citing works
Integrated specialist assessment of older people and predictors of care-home admission
Clarkson, P., Venables, D., Hughes, J. M., et al. (2006) · Psychological Medicine · doi:10.1017/s0033291706007434 · Cited by 24 · see citing works
Variations in Costs of a Collaborative Care Model for Dementia
Rosa, T. D., Possin, K. L., Sideman, A. B., Merrilees, J. J., Dulaney, S., Matuoka, J. Y., Lee, K. P., Chiong, W., Bonasera, S. J., Harrison, K. L., et al. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16076 · Cited by 24 · see citing works
Belle, S. H., Burgio, L., Burns, R., Coon, D., Czaja, S. J., Gallagher-Thompson, D., Gitlin, L. N., Klinger, J., Koepke, K. M., Lee, C. C., et al. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-145-10-200611210-00005 · Cited by 23 · see citing works
Cost impact of the transitional care model for hospitalized cognitively impaired older adults
Pauly, M. V., Hirschman, K. B., Hanlon, A. L., Huang, L., Bowles, K. H., Bradway, C. K., McCauley, K. M., & Naylor, M. D. (2018) · Journal of Comparative Effectiveness Research · doi:10.2217/cer-2018-0040 · Cited by 23 · see citing works
Self-citationSpijker, A., Wollersheim, H. C. H., Teerenstra, S., Graff, M. J. L., Adang, E., Verhey, F. R. J., & Vernooij-Dassen, M. J. F. J. (2011) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3182110599 · Cited by 22 · see citing works
Sun, F., Durkin, D. W., Hilgeman, M. M., Harris, G., Gaugler, J. E., Wardian, J., Allen, R. S., & Burgio, L. D. (2012) · The Gerontologist · doi:10.1093/geront/gns110 · Cited by 20 · see citing works
Care transitions intervention reduces ED revisits in cognitively impaired patients
Shah, M. N., Jacobsohn, G. C., Jones, C. M., Green, R. K., Caprio, T. V., Cochran, A. L., Cushman, J. T., Lohmeier, M., & Kind, A. (2022) · Alzheimer s & Dementia Translational Research & Clinical Interventions · doi:10.1002/trc2.12261 · Cited by 20 · see citing works
Hébert, R., Girouard, D., Leclerc, G. J., Bravo, G., & Lefrançois, R. (1995) · Archives of Gerontology and Geriatrics · doi:10.1016/0167-4943(94)00590-4 · Cited by 18 · see citing works
Dahlrup, B., Nordell, E., Carlsson, K. S., & Elmståhl, S. (2013) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000355365 · Cited by 18 · see citing works
Klug, M. G., Halaas, G. W., & Peterson, M. (2014) · Health Affairs · doi:10.1377/hlthaff.2013.1061 · Cited by 17 · see citing works
Effects of alternative interventions among hospitalized, cognitively impaired older adults
Naylor, M. D., Hirschman, K. B., Hanlon, A. L., Bowles, K. H., Bradway, C. K., McCauley, K. M., & Pauly, M. V. (2016) · Journal of Comparative Effectiveness Research · doi:10.2217/cer-2015-0009 · Cited by 17 · see citing works
Self-citationA Break-Even Analysis for Dementia Care Collaboration: Partners in Dementia Care
Morgan, R. O., Bass, D. M., Judge, K. S., Liu, C., WILSON, N. L., Snow, A. L., Pirraglia, P. A., Garcia‐Maldonado, M., Raia, P. A., Fouladi, N., et al. (2015) · Journal of General Internal Medicine · doi:10.1007/s11606-015-3205-x · Cited by 15 · see citing works
Bosetti, A., Gayot, C., Preux, P., & Tchalla, A. E. (2020) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000510054 · Cited by 15 · see citing works
Characteristics of Depressed Caregivers of Veterans With Dementia
Bejjani, C., Snow, A. L., Judge, K. S., Bass, D. M., Morgan, R. O., WILSON, N. L., Walder, A. M., Looman, W. J., McCarthy, C. A., & Kunik, M. E. (2012) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/1533317512461555 · Cited by 14 · see citing works
Toles, M., Leeman, J., McKay, M. H., Covington, J., & Hanson, L. C. (2022) · Geriatric Nursing · doi:10.1016/j.gerinurse.2022.09.016 · Cited by 14 · see citing works
The Dementia Care Coordination Program: Engaging Health Systems in Caregiver Supports
Nadash, P., Silverstein, N. M., & Porell, F. W. (2017) · Dementia · doi:10.1177/1471301217697466 · Cited by 12 · see citing works
Impact of a Care Coordination and Support Strategic Partnership on Clinical Outcomes
Engelhardt, J. B., Kisiel, T., Js, N., et al. (2008) · Home Healthcare Now · doi:10.1097/01.nhh.0000313348.85980.1e · Cited by 12 · see citing works
Darlak, L., Bass, D. M., Judge, K. S., WILSON, N. L., Looman, W. J., McCarthy, C. A., Morgan, R. O., Maslow, K., & Kunik, M. E. (2016) · Journal of Applied Gerontology · doi:10.1177/0733464815624148 · Cited by 11 · see citing works
Song, W., Intrator, O. K., Twersky, J., Davagnino, J., Kinosian, B. P., & Wieland, D. (2020) · Medical Care Research and Review · doi:10.1177/1077558720929592 · Cited by 9 · see citing works
Bennett, A. V., Hanson, L. C., Epstein-Lubow, G. P., et al. (2022) · doi:10.58234/82222234 · Cited by 7 · see citing works
Effect of care coordination on patients with Alzheimer disease and their caregivers
Chen, B. (2020) · The American Journal of Managed Care · doi:10.37765/ajmc.2020.88532 · Cited by 6 · see citing works
Does care consultation affect use of VHA versus non-VHA care?
Morgan, R. O., Pathak, S., Bass, D. M., et al. (2019) · PubMed · Cited by 5 · see citing works
Hovsepian, V. E., Sadak, T. I., Schlak, A. E., Liu, J., & Poghosyan, L. (2023) · Journal of Applied Gerontology · doi:10.1177/07334648231155444 · Cited by 5 · see citing works
Deciding When to Put Grandma in the Nursing Home
Klug, M. G., Volkov, B. B., Muus, K. J., et al. (2012) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/1533317512449729 · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Lawson, L., Cooper, M., Tolley, C., Hand, A., & Nazar, H. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06123-0 · Cited by 10 · see citing works
“Furthermore, when interventions exist, they primarily focus on outcomes such as health-care resource use or cost rather than elements of care coordination [105].”
Greene, L., Brain, J., Watkins, P., Kafadar, A. H., Sabatini, S., Blundell, B., Bothe, E., Harper, K., Hersh, D., Morrisby, C., et al. (2026) · The Gerontologist · doi:10.1093/geront/gnaf275 · Cited by 9 · see citing works
- Authors
- Hirschman, K. B., McHugh, M., & Morgan, B.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Hirschman, Karen B.
- Venue
- Alzheimer's & Dementia: Translational Research & Clinical Interventions
- Publisher
- Wiley
- Published
- 2023-07
- Volume
- 9
- Issue
- 3
- Pages
- e12391-e12391
- ISSN
- 2352-8737 (ISSN-L)
- PMC
- PMC10404587
- OpenAlex
- W4385639445
- Cited by
- 11
- References
- 92
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 1 · 2023: 2
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Alzheimer s & Dementia Translational Research & Clinical Interventions (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health
- National Institute of Nursing Research (F31NR020140, T32NR009356)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- dementia, care transitions, care coordination, caregivers, measurement instruments, health care utilization, health care costs, hospital readmission
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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