gms | German Medical Science

This panel session will discuss how HTA and evidence-based methods are used to develop and support integrated care pathways and transition of care services. Examples from three countries will demonstrate how evidence-based methods help develop clinical pathways for chronic conditions and support the smooth transition of care at various interfaces: acute to intermediate and long-term care, and health services to social services.

Dr Pwee will discuss how health technology assessment is used in the MOH, Singapore, to identify key elements of care for integrated care pathways in conditions like hip fracture, stroke and COPD.

Dr Bettger will discuss how transitional care is an emerging key factor in care coordination as it supports health care continuity and quality during patient handoffs. A national priority in the United States, the translation and adoption of effective transitional care into practice is expected to accelerate in an effort to prevent adverse outcomes including rehospitalizations. This presentation will describe the evidence for the benefits/harms of transitional care for patients hospitalized with acute stroke or myocardial infarction.

Dr Sheppard will discuss guidance developed by NICE and the Social Care Institute for Excellence to improve access to NHS and social care services by closing the gaps in care pathways across both care systems. Access to services to promote the good physical and mental health of children and young people in England and Wales are variable, to the extent that this group of vulnerable individuals are over represented in both adult mental health and prison populations.