title: Facilitating care transitions for older adults.
abstract: Successful transitions between care settings can reduce the chance of complications for older adults with complex health conditions. Ensuring good transitions involves not only executing a well-thought-out medical plan but also referring patients to support services in the community and attending to the needs and well-being of their caregivers. This article describes why these factors are so important and how physicians can use Minnesota resources to improve care transitions.
authors: Aging and Adult Services Division, Minnesota Department of Human Services, USA.
authors: Jean K
authors: JK
authors: Wood
mesh_terms: D000368:Aged; D017028:Caregivers; D002908:Chronic Disease / Q000628:therapy*; D003299:Cooperative Behavior; D017281:Cost of Illness; D006301:Health Services Needs and Demand / Q000458:organization & administration; D006299:Health Services for the Aged; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D033183:Interdisciplinary Communication; D008910:Minnesota; D010347:Patient Care Planning / Q000458:organization & administration*