[A tool for improving the transition between hospital and community care for the elderly]

Abstract

The hospital-community interface represents a real challenge in the care of elderly people. A lack of coordination and communication is the main obstacle to ensuring the fluidity of this pathway. On a definite territory, a new hospital-community liaison sheet was developed as the result of a collaborative approach and then evaluated. This simple, useful and effective cross-professional tool, is the first step towards improving communication between these two universes.

Keywords: communication; community; elderly patient; hospital; hôpital; outil; parcours patient; patient pathway; sujet âgé; tool; ville.