{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:29:09Z","timestamp":1764052149178,"version":"3.45.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Department of Science and Technology"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To apply scientific methods to synthesize existing research, aiming to clarify the current status of continuity of care needs and their core influencing factors among older adults with hip fractures, thereby providing a theoretical basis for constructing a patient-needs-based continuity of care program. We posed two explicit research questions: (1) What specific continuity-of-care needs do patients \u2265 65\u202fyears old experience after hip fracture? (2) Which individual, caregiver, and system-level factors influence these needs? This review specifically focuses on the Chinese context to provide evidence for developing tailored interventions within China\u2019s healthcare system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review was conducted following the PRISMA-ScR framework. Literature on the current status of continuity of care needs and influencing factors in older adults with hip fractures was retrieved from the following databases: China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP (CQVIP), SinoMed, PubMed, Web of Science, Embase, and The Cochrane Library. The review particularly aimed to synthesize evidence from China. The search timeframe was restricted from database inception to May 9, 2025. Two researchers independently screened the literature, extracted data, and summarized findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventeen studies were ultimately included: nine cross-sectional studies and eight qualitative studies. The results indicated that the demand rate for continuity of care among older adults with hip fractures ranged from 35.83 to 75.60%. The identified needs were categorized into five main types: (1) needs for accessing hospital and community resources, (2) needs for disease-related knowledge, (3) needs for social support, (4) nutritional needs, and (5) psychological needs. Among these, the needs for accessing hospital\/community resources and disease-related knowledge were the most prominent. The influencing factors were categorized into two themes: socio-demographic factors and disease-related factors. Socio-demographic factors included age, education level, and marital status; notably, patients aged &amp;lt;70\u202fyears exhibited a higher demand for continuity of care compared to older patients. Disease-related factors included physical condition and lack of disease-related knowledge. One study specifically reported the relationship between discharge readiness and patients\u2019 continuity of care needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings, primarily based on Chinese studies, indicate a high level of unmet CoC needs among older adults with hip fractures in China. Across 48 studies we found seven core needs\u2014real-time information hand-offs, a named navigator, early mobilization, step-wise pain management, home fall-hazard modification, post-fracture depression screening, and standardized 30- to 180-day outcome tracking\u2014driven by patient factors (cognitive impairment, multimorbidity), caregiver factors (education and financial burden), and system factors (EHR interoperability, integrated payment models). The overall demand for continuity of care among older adults with hip fractures is relatively high, with a portion of these needs remaining unmet. Furthermore, research specifically developing continuity of care programs tailored to identify patient needs is currently lacking. The assessment of continuity of care needs in this population primarily relies on self-developed scales, lacking specific, validated instruments. Future research should focus on the development and application of specific assessment tools to more accurately identify the continuity of care needs of older adults with hip fractures. This will facilitate the construction of needs-based continuity of care programs, ultimately enhancing home-based rehabilitation outcomes and strengthening the effectiveness of continuity of care. This review maps the current evidence and reveals a critical gap: while needs are well-documented, there is a stark lack of studies developing and testing interventions based on these needs, particularly within China. It underscores the imperative for future research to develop specific assessment tools and construct effective, needs-based CoC programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1667307","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:25:29Z","timestamp":1764051929000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A scoping review of the current status of continuity of care needs and factors influencing them in older adults with hip fractures in China"],"prefix":"10.3389","volume":"13","author":[{"given":"Yu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xi","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingqi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haijiao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/s40001-021-00556-0","article-title":"Management of proximal femur fractures in the elderly: current concepts and treatment options","volume":"26","author":"Fischer","year":"2021","journal-title":"Eur J Med Res"},{"key":"ref2","first-page":"1","article-title":"Guidelines for the diagnosis, treatment and management of geriatric hip fractures (2022 edition)","volume":"10","year":"2023","journal-title":"Chinese J Geriatric Res (Electronic Edition)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1177\/17449871231206613","article-title":"Commentary: discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study","volume":"28","author":"Grainger","year":"2023","journal-title":"J Res Nurs"},{"key":"ref4","first-page":"59","article-title":"Research status of continuous nursing for elderly patients with hip fracture","volume":"21","author":"Wang","year":"2022","journal-title":"J Clin Nurs"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"101141","DOI":"10.1016\/j.ijotn.2024.101141","article-title":"A qualitative study of older adults: the difficulties and needs of returning home after hip fractures","volume":"55","author":"Rocha","year":"2024","journal-title":"Int J Orthopaedic and Trauma Nurs"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1186\/s12877-022-03119-y","article-title":"Older adults\u2019 perspectives on rehabilitation and recovery one year after a hip fracture \u2013 a qualitative study","volume":"22","author":"Karlsson","year":"2022","journal-title":"BMC Geriatr"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"97","DOI":"10.3969\/j.issn.1671-315x.2018.02.006","article-title":"Qualitative study on the continuous nursing needs of caregivers of elderly patients with hip fracture","volume":"18","author":"Liang","year":"2018","journal-title":"J Nurs Adm"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"131","DOI":"10.19738\/j.cnki.psy.2018.03.118","article-title":"Qualitative study on the continuous nursing needs of caregivers of elderly patients with hip fracture","volume":"13","author":"Zhou","year":"2018","journal-title":"Psycholog Monthly"},{"key":"ref9","first-page":"212","article-title":"Qualitative study on the continuous nursing needs of caregivers of elderly patients with hip fracture","volume":"27","author":"Yang","year":"2021","journal-title":"Medical Diet and Health"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"107","DOI":"10.3969\/j.issn.1001-568X.2025.03.0026","article-title":"Current status and influencing factors of continuous nursing needs in elderly patients after hip fracture surgery in a street area of Xuhui District, Shanghai","volume":"39","author":"Wang","year":"2025","journal-title":"Chin Primary Health Care"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1912","DOI":"10.3969\/j.issn.1672-9676.2021.13.005","article-title":"Analysis on the status of continuous nursing needs and influencing factors in elderly patients with intertrochanteric fracture after surgery","volume":"18","author":"Chen","year":"2021","journal-title":"Nurs Pract Res"},{"key":"ref12","first-page":"1837","article-title":"Analysis on the status of continuous nursing needs and influencing factors in elderly patients with intertrochanteric fracture after surgery","volume":"48","author":"Xu","year":"2024","journal-title":"Guizhou Yi Xue Yuan Xue Bao"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.19435\/j.1672-1721.2024.08.001","article-title":"Correlation between discharge readiness and continuous nursing needs in elderly patients with femoral neck fracture after replacement surgery","volume":"28","author":"Su","year":"2024","journal-title":"J Community Med"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"59","DOI":"10.12122\/j.issn.2096-5249.2024.01.031","article-title":"Analysis on the needs and influencing factors of out-of-hospital continuous nursing for elderly patients with intertrochanteric fracture","author":"Xu","year":"2024","journal-title":"Chinese Sci Technol J Database (Full-text Edition) - Med Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1007\/s00198-003-1583-0","article-title":"Consequences of hip fracture on activities of daily life and residential needs","volume":"15","author":"Osnes","year":"2004","journal-title":"Osteoporos Int"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1097\/01.JNR.0000246043.80644.66","article-title":"Care needs and level of care difficulty related to hip fractures in geriatric populations during the post-discharge transition period","volume":"14","author":"Lin","year":"2006","journal-title":"J Nurs Res"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1016\/j.archger.2013.05.001","article-title":"Association of home care needs and functional recovery among community-dwelling older adults with hip fractures","volume":"57","author":"Wu","year":"2013","journal-title":"Arch Gerontol Geriatr"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"7632","DOI":"10.3390\/ijerph18147632","article-title":"Analysis of home-based rehabilitation awareness, needs and preferred components of elderly patients with hip fracture surgery in South Korea","volume":"18","author":"Lee","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.3760\/cma.j.cn115682-20190407-01113","article-title":"Qualitative study on the continuous nursing needs of elderly patients with hip fracture undergoing hip replacement at discharge","volume":"26","author":"He","year":"2020","journal-title":"Chin J Mod Nurs"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"731","DOI":"10.12102\/j.issn.1009-6493.2022.04.033","article-title":"Qualitative study on the full-cycle care needs of elderly patients with hip fracture based on the TIMING model","volume":"36","author":"Wang","year":"2022","journal-title":"Chin Nurs Res"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1192","DOI":"10.3969\/j.issn.1003-9198.2022.12.001","article-title":"Qualitative study on disease cognition and rehabilitation nursing needs of elderly patients with hip fracture","volume":"36","author":"Zhu","year":"2022","journal-title":"Practical Geriatrics"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1768","DOI":"10.1111\/os.13293","article-title":"Effect of home-based telerehabilitation on the postoperative rehabilitation outcome of hip fracture in the aging population","volume":"14","author":"Zhang","year":"2022","journal-title":"Orthop Surg"},{"key":"ref23","first-page":"42","article-title":"Research progress on nutritional management in elderly patients with hip fracture after surgery","volume":"62","author":"Tang","year":"2024","journal-title":"J Shandong University (Health Sciences)"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.3760\/cma.j.issn.1672-7088.2017.15.008","article-title":"Reliability and validity test of the pre-discharge home care needs prediction scale for fracture patients","volume":"33","author":"Cui","year":"2017","journal-title":"Chin J Pract Nurs"},{"key":"ref25","first-page":"513","article-title":"Using triangulation methodology study on role strain and demands of family caregivers for spinal cord injury patients during discharge transition","volume":"6","author":"Chiu","year":"1998","journal-title":"J Nurs Res"},{"key":"ref26","first-page":"20","article-title":"Concept analysis of nursing dependency in the elderly","volume":"40","author":"Cui","year":"2025","journal-title":"J Nurs Sci"},{"key":"ref27","first-page":"143","article-title":"Current status of continuous nursing needs and analysis of related risk factors in patients with femoral fracture after surgery","volume":"36","author":"Xu","year":"2023","journal-title":"Medical Equipment"},{"key":"ref28","first-page":"77","article-title":"Application of \"3H\" service model combined with \"five-step\" nursing in patients with intertrochanteric fracture after surgery","volume":"25","author":"Luo","year":"2019","journal-title":"Qilu J Nurs"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.13898\/j.cnki.issn.1000-2200.2020.08.038","article-title":"Influence of micro-video and WeChat health education on perioperative nursing quality of patients with intertrochanteric fracture","volume":"45","author":"Li","year":"2020","journal-title":"J Bengbu Med Coll"},{"key":"ref30","first-page":"42","article-title":"Qualitative study on the needs of continuous nursing for patients with chronic kidney disease after discharge","volume":"33","author":"Zhang","year":"2025","journal-title":"Tianjin J Nurs"},{"key":"ref31","first-page":"562","article-title":"Research progress on early limb activity in elderly patients with hip fracture","volume":"45","author":"Chen","year":"2024","journal-title":"Acad J Chinese PLA Medical School"},{"key":"ref32","first-page":"117","article-title":"Analysis of influencing factors and intervention strategies for postoperative self-care ability in elderly patients with hip fracture","volume":"10","author":"Qian","year":"2024","journal-title":"Nurs Integrated Traditional Chinese and Western Med (Chinese & English)"},{"key":"ref33","volume-title":"Current status and influencing factors of discharge readiness in patients with knee osteoarthritis after total knee arthroplasty","author":"Li","year":"2023"}],"container-title":["Frontiers in Public 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