Background Many people with chronic disease have more than one chronic condition, which
is referred to as multimorbidity. The term comorbidity is also used but this is now taken to …

The objective of this review was to evaluate existing transition-of-care models and identify
common themes that may minimize exacerbation and rehospitalization, and improve quality …

The global coronavirus disease (COVID-19) pandemic has greatly affected the lives of
people living with non-communicable diseases (PLWNCDs). The health of PLWNCDs …

Background Patient navigators have been introduced across various countries to enable
timely access to healthcare services and to ensure completion of diagnosis and follow-up of …

Abstract Background/Objectives Older adults are at high risk for adverse outcomes as they
transition from hospital to home. Transitional care interventions primarily focus on care …

Background Surgical site infection (SSI) is the most common nosocomial infection and the
leading cause of readmission among surgical patients. Many SSIs develop in the …

Background Social vulnerability occurs when individuals have been relatively
disadvantaged by the social determinants of health. Complex interventions that reduce …

Background: Fluctuations in health among chronically ill adults result in frequent health care
transitions. Some interventions to improve patient outcomes after hospitalization include …

Background Emerging evidence from the virtual ward care model showed that
multidisciplinary case management are inadequate to reduce readmissions or death for high …

Background: Care navigation is an approach to personalized care management and care
coordination that can help overcome barriers to care. Care navigation has not been …