A role for social workers in improving care setting transitions: a case study

Social Work in Health Care
Ruth D BarberSusan Enguidanos

Abstract

High 30-day readmission rates are a major burden to the American medical system. Much attention is on transitional care to decrease financial costs and improve patient outcomes. Social workers may be uniquely qualified to improve care transitions and have not previously been used in this role. We present a case study of an older, dually eligible Latina woman who received a social work-driven transition intervention that included in-home and telephone contacts. The patient was not readmitted during the six-month study period, mitigated her high pain levels, and engaged in social outings once again. These findings suggest the value of a social worker in a transitional care role.

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Citations

Apr 20, 2019·Social Work in Health Care·Judith DobrofKristin Muzina
Mar 17, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Janet E Anderson, Alison J Watt
Nov 24, 2018·Public Health Nursing·Melanie A Mariano, Monica J Harmon
Mar 24, 2016·Social Work in Health Care·Brooklyn Glaser, Esther Suter
Dec 19, 2018·Health & Social Work·Lisa A HarkScott J Fudemberg
Jun 4, 2019·Health Affairs·Karen DonelanPeter I Buerhaus
Mar 18, 2021·Social Work in Health Care·Kamal WagleDebra K Litzelman
Apr 27, 2021·Journal of Gerontological Social Work·Colleen GalambosEric Engelbart
Aug 6, 2020·Theoretical Medicine and Bioethics·Annie B Friedrich

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

HomeMeds
SWIFT

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