Evidence map›Paper›PMID 40143559›Full record

ArticleJournal of clinical nursing2026

Continuity and Coordination of Care During Hospital-To-Home Transitions: Healthcare Professionals' Perspectives.

J W M van Grootel, R J Collet, J M van Dongen, M van der Leeden, E Geleijn, R Ostelo, M van der Schaaf, M E Major, S Wiertsema

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Response to LTE "Bridging the Gap Between Patient Experience and System-Level Review: A Call for Discipline-Specific Communication in Hospital-to-Home Transitions.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Article
  6. Exploring Patient and Caregiver Work and Continuity of Care During Hospital-to-Home Transitions of Care in the Canadian Context.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

J W M van GrootelDepartment of Rehabilitation Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-2357-0183
R J ColletDepartment of Rehabilitation Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
J M van DongenAmsterdam Movement Sciences, Musculoskeletal Health, Amsterdam, the Netherlands.
M van der LeedenAmsterdam Movement Sciences, Ageing and Vitality, Amsterdam, the Netherlands.
E GeleijnDepartment of Rehabilitation Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
R OsteloAmsterdam Movement Sciences, Musculoskeletal Health, Amsterdam, the Netherlands.
M van der SchaafDepartment of Rehabilitation Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
M E MajorDepartment of Rehabilitation Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
S WiertsemaDepartment of Rehabilitation Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.

Funding

ZonMw
6 · The paper itself

Abstract

aimTo gain insight into healthcare professionals' perceptions and needs regarding hospital-to-home transitions.

designQualitative phenomenological study.

methodsHospital and primary care professionals participated in focus groups and interviews. Participants were recruited from a Dutch University hospital and from our networks between May and September 2023. Data were analysed using thematic analysis.

resultsWe conducted seven focus groups and twelve interviews. Three themes emerged: "Collaboration and information exchange between professionals", "Coordination and continuity of care", and "Interaction between professionals, patients, and families".

conclusionThis study suggests that professionals would benefit from clear guidelines and arrangements for communication with colleagues to support care coordination and continuity. Collaboration and information sharing are essential for providing integrated, patient-centred care. Additionally, involving patients and families in decision-making regarding hospital-to-home transitions, in a way that considers their needs, is important for effective care. IMPLICATIONS: This study highlights the importance of clear communication and collaboration between professionals to ensure continuity of care. It emphasises the need for integrated care, where patients and families are actively involved without being overwhelmed. IMPACT: Transitions from hospital-to-home are often hindered by fragmented, non-individualised care. Improved collaboration, clear coordination, and patient-family involvement can address this. This research can positively impact professionals across different settings, policymakers, and advocacy groups aiming to improve integrated patient-centred care. PATIENT OR PUBLIC CONTRIBUTION: The interview guide was developed with professionals who reviewed it and provided feedback. Professionals provided us with their lived experiences by participating in interviews and focus groups. REPORTING

methodThis study adhered to the COREQ guidelines.

trial registrationN.A.

Indexed as

Attitude of Health PersonnelContinuity of Patient CareHealth PersonnelAdultFemaleFocus GroupsHumansMaleMiddle AgedNetherlandsPatient-Centered CareQualitative Researchaging in placeallied healthcareexperienceshospitalolder peopleprimary caretransitional care

Identifiers

PMID40143559
PMCPMC13068181

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.