Model Discharged Planning Terintegrasi di Rumah Sakit : Systematic Review

Helmi Juwita, Elly L. Sjattar, Andi Masyitha Irwan, Muslimin A.

Abstract


The aim of this review is to find out an implementation model of integrated discharge planning on the occurrence of readmission events in hospitals.This review used a systematic review method with PRISMA guidelines. The articles were searched using PICO keywords in several databases such as PubMed, Garuda, Cochrane, ProQuest and Ebsco. The five identified articles were then screened according to the inclusion and exclusion criteria.The results in this review that there are five articles that match the inclusion criteria with different integrated discharge planning implementation models, namely the Integrated Practice Unit (IPU) model, implementation of a comprehensive discharge bundle, Project ReEngineered Discharge (RED), Post Discharge Transition Care (PDTC) and Transition Plan. The integrated discharge planning implementation model is carried out by a multidisciplinary team when the patient enter the hospital until they return home by making the patients’ discharge schedule, patients’ care education, drug management and home care follow-up, follow-up by phone, and the use patients’ discharge lists/letters. Several effective models reduce the 30 days readmission rate in hospitals, namely the IPU, RED, PDTC and transition plan models. However, the model implementation of a comprehensive discharge bundle was not effective in reducing the 30 days readmission rate in the hospital. When viewed from the level of evidence base and quality of articles, the IPU implementation model has the highest level of evidence base in the implementation of integrated discharge planning in hospitals.


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DOI: https://doi.org/10.47007/ijnhs.v9i2.8623

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