title: Transitional care.
authors.affiliation: University of Pennsylvania in Philadelphia, USA. naylor@nursing.upenn.edu
authors.forename: Mary
authors.initials: M
authors.lastname: Naylor
authors.forename: Stacen A
authors.initials: SA
authors.lastname: Keating
mesh_terms: D000368:Aged; D017028:Caregivers / Q000193:education / Q000523:psychology; D002908:Chronic Disease; D003142:Communication; D003152:Community Health Nursing / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003631:Day Care, Medical / Q000458:organization & administration; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D005190:Family / Q000523:psychology; D005851:Geriatric Nursing / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged / Q000458:organization & administration*; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D016294:Models, Nursing; D015399:Nursing Research; D010360:Patient Transfer; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D012052:Reimbursement, Incentive; D012944:Social Support; D017749:Total Quality Management / Q000458:organization & administration
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