The DOI matches its Crossref record; 33 of the 34 references it cites were found in a registry or an index.
Technology Solutions to Support Care Continuity in Home Care: A Focus Group Study
Open accessAbstract
Background: Elevated hospital readmission rates from home care are an indicator of poor care quality, and rates are particularly high for patients with heart failure. Readmissions may be avoided by optimizing continuity of care. Purpose: To explore perceptions among home care clinicians of the barriers they face and the information they need to improve care continuity for patients with heart failure. Methods: Focus groups were conducted with teams of home care clinicians at a large certified home healthcare agency in the Northeastern United states. Results: In total, there were 61 participants across 6 focus groups. Three overarching themes emerged: continuity of care and communication on care transitions, maintaining continuity of care during a home care episode (with subthemes tracking signs and symptoms and patient teaching), and health information technology (HIT) characteristics to support communication and care continuity. Conclusions: Our study highlights areas of improvement for HIT solutions that could support care delivery for patients with heart failure in a home care setting. Implications: Home care agencies planning to introduce technology can use these findings to assess if and how potential systems can support nurses to provide continuity of care across healthcare organizations and home care visits.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Home care nurses in a prior study expressed a similar use case for AI to modify the intensity of their services but did not discuss its role in transitions of care.71”
From Potential uses of AI for perioperative nursing handoffs: a qualitative study (2023) · cites this paper as [71]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Several small studies from other nursing contexts have found similar themes.”
From Potential uses of AI for perioperative nursing handoffs: a qualitative study (2023) · cites this paper as [71]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
2013 ACCF/AHA Guideline for the Management of Heart Failure
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., Fonarow, G. C., Geraci, S. A., Horwich, T., Januzzi, J. L., et al. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.05.019 · Cited by 12,536
Rehospitalizations among Patients in the Medicare Fee-for-Service Program
Jencks, S. F., Williams, M. V., & Coleman, E. A. (2009) · New England Journal of Medicine · doi:10.1056/nejmsa0803563 · Cited by 5,164
Continuity of care: a multidisciplinary review
Haggerty, J. L., Reid, R. J., Freeman, G. K., Starfield, B. H., Adair, C. E., & McKendry, R. (2003) · BMJ · doi:10.1136/bmj.327.7425.1219 · Cited by 2,374
Naylor, M. D., Brooten, D., Campbell, R., Jacobsen, B. S., Mezey, M. D., Pauly, M. V., & Schwartz, J. S. (1999) · JAMA · doi:10.1001/jama.281.7.613 · Cited by 1,831
Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial
Naylor, M. D., Brooten, D. A., Campbell, R. L., Maislin, G., McCauley, K. M., & Schwartz, J. S. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52202.x · Cited by 1,365
HFSA 2010 Comprehensive Heart Failure Practice Guideline
Heart Failure Society of America (2010) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2010.04.004 · Cited by 1,304
Harris-Kojetin, L. (2016) · PubMed · doi:10.13140/rg.2.1.1207.6407 · Cited by 688
Feltner, C., Jones, C. D., Cené, C. W., Zheng, Z.-J., Sueta, C. A., Coker-Schwimmer, E. J. L., Arvanitis, M., Lohr, K. N., Middleton, J. C., & Jonas, D. E. (2014) · Annals of Internal Medicine · doi:10.7326/m14-0083 · Cited by 681
Continuity and the Costs of Care for Chronic Disease
Hussey, P. S., Schneider, E. C., Rudin, R. S., Fox, D. S., Lai, J., & Pollack, C. E. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.245 · Cited by 394
Continuity of Care and the Risk of Preventable Hospitalization in Older Adults
Nyweide, D. J., Anthony, D. L., Bynum, J., Strawderman, R. L., Weeks, W. B., Casalino, L. P., & Fisher, E. S. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.10059 · Cited by 347
Cited by
Sorted by citations
The Development of Heuristics for Evaluation of Dashboard Visualizations
Dowding, D., & Merrill, J. A. (2018) · Applied Clinical Informatics · doi:10.1055/s-0038-1666842 · Cited by 78
Self-citationUsability Evaluation of a Dashboard for Home Care Nurses
Dowding, D., Merrill, J. A., Barrón, Y., Onorato, N., Jonas, K. E., & Russell, D. (2018) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000484 · Cited by 40
Self-citationPlanning for a Safe Discharge: More Than a Capacity Evaluation
Wong, S. P., Sharda, N. K., Zietlow, K. E., & Heflin, M. T. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16315 · Cited by 39
Transitional ‘hospital to home’ care of older patients: healthcare professionals’ perspectives
Dolu, İ., Naharcı, M. İ., Logan, P., Paal, P., & Vaismoradi, M. (2020) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12904 · Cited by 35
Caregivers’ Experiences Regarding Training and Support in the Post-Acute Home Health-Care Setting
Chase, J. D., Russell, D., Rice, M., Abbott, C. C., Bowles, K. H., & Mehr, D. R. (2019) · Journal of Patient Experience · doi:10.1177/2374373519869156 · Cited by 30
Self-citation
Metadata
- Authors
- Dowding, D. W., Russell, D., Onorato, N., & Merrill, J. A.
- Affiliations
- Agency for Healthcare Research and Quality (US)
- Venue
- Journal for Healthcare Quality
- Published
- 2018-07
- Volume
- 40
- Issue
- 4
- Pages
- 236-246
- ISSN
- 1062-2551 (ISSN-L)
- 1945-1474
- PMC
- PMC5832509
- OpenAlex
- W2753880573
- Cited by
- 27
- References
- 34
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 8 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- Journal for Healthcare Quality (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Agency for Healthcare Research and Quality (R21 HS023855)
- Topics
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Keywords
- continuity of care, home care, heart failure, hospital readmission, health information technology, care transitions, clinician perceptions, home care nurses, patient education, communication between care providers
- MeSH terms
- Adult, Aged, Continuity of Patient Care, Delivery of Health Care, Female, Home Care Services, Humans, Male, Middle Aged, Patient Transfer, Quality of Health Care, Focus Groups, Guidelines as Topic, Inventions
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 ›
Are you an author, or do you see a problem with this page? Request a review
