Experiences of Older Adults Living with Frailty Transitioning from Hospital to Home —A Qualitative Descriptive Study
Bibliographic record
Abstract
An Alternate Level of Care (ALC) patient is someone who occupies a bed in the hospital but does not require the intensive level of care in the hospital setting. In 2021, of the over 48,000 inpatients designated as ALC in Ontario hospitals, approximately 85% were older adults (over 65 years of age) living with frailty. Older adults living with frailty designated as ALC risk further decline while waiting to be transitioned to a more appropriate setting due to suboptimal care in the hospital. At the same time, there is a lack of support for older adults to maintain their safety and independence in the community. This study aims to understand the lived experience of older adults living with frailty and relevant health participants (caregivers, healthcare professionals, administrators) when transitioning from hospital to home. Through in-depth and open-ended interviews, this study focuses on the exploration and identification of key challenges, barriers, and facilitators of transition from the insiders’ perspectives in the context of Ontario Health Team. This sets the first steppingstone for future development of discharge and transition pathways that are patient-centred, effective, and practical, enabling older adults living with frailty to age safely and independently in their preferred environment.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.011 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.008 |
| Scholarly communication | 0.004 | 0.004 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".