Opportunities for optimising care transitions of adults with multiple long-term conditions: a qualitative interview study
We identified multiple system-level barriers to providing high-quality and safe care transitions. We proposed key improvement opportunities, highlighting the need for using system engineering and systems thinking approaches, underpinned by the active engagement of patients, carers, professionals, and wider stakeholders to drive meaningful and sustainable change in transitions of care.
Authors
- Marcus J. Lyall (ORCID: https://orcid.org/0000-0002-2952-2676)
- Atul Anand (ORCID: https://orcid.org/0000-0002-6428-4554)
- Stewart W Mercer (ORCID: https://orcid.org/0000-0002-1703-3664)
- Stella Arakelyan (ORCID: https://orcid.org/0000-0003-0326-707X)
- Bruce Guthrie (ORCID: https://orcid.org/0000-0003-4191-4880)
- Nazir Lone (ORCID: https://orcid.org/0000-0003-2707-2779)
- Julie A. Jacko
Institutions
- NHS Lothian (GB)
- Edinburgh Royal Infirmary (GB)
- University of Edinburgh (GB)
Publication Details
- Journal
- BMC Geriatrics
- Published
- 2025-08-08
- DOI
- https://doi.org/10.1186/s12877-025-06264-2
- Primary Topic
- Chronic Disease Management Strategies
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care
- Engineering and Physical Sciences Research Council