{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:07:54Z","timestamp":1788786474509,"version":"build-2803163510"},"reference-count":29,"publisher":"Ubiquity Press, Ltd.","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Integr Care"],"abstract":"<jats:p>Background: The increasing prevalence of individuals living with chronic conditions and multi-morbidity presents challenges to healthcare systems and coordination of coherent patient pathways. In Denmark, transitions between healthcare sectors are susceptible to disruption due to inadequate cross-sectoral collaboration. To improve continuity of care and cross-sectoral collaboration, an agreement of 72-hour hospital treatment responsibility post-discharge was implemented.Methods: We used data from a questionnaire survey for healthcare professionals, data from electronic patient records, and data from cross-sectoral medical record audits to evaluate outcomes of the implementation of the agreement.Results: Survey data suggested that the agreement may enhance cross-sectoral collaboration by improving communication and understanding of other sectors, with municipal healthcare professionals perceiving these benefits more strongly. Data from electronic patient records indicated increased attention to discharge documentation. Medical record audits suggest that the agreement may be supportive where medication-related uncertainties necessitated clarification.Conclusion: The evaluation shows that the agreement can facilitate cross-sectoral communication, in some cases may improve treatment quality and safety and may support safer transitions from hospital to municipal care. The agreement does not reduce readmissions among the target group in general; however, it might facilitate avoidance of unnecessary readmissions in cases where cross-sectoral dialogue is sufficient.<\/jats:p>","DOI":"10.5334\/ijic.10188","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:27:19Z","timestamp":1788780439000},"page":"15","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of 72-Hour Hospital Treatment Responsibility Post Discharge to Municipal Nursing Care"],"prefix":"10.5334","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9210-6704","authenticated-orcid":false,"given":"Elise","family":"Harder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5276-0310","authenticated-orcid":false,"given":"Ann-Sofie Kofoed","family":"Berthelsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5770-9174","authenticated-orcid":false,"given":"Julie Christina","family":"Grew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9320-2009","authenticated-orcid":false,"given":"Sidsel Maria","family":"J\u00f8rgensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8482-7674","authenticated-orcid":false,"given":"Fiona Haustedt","family":"Mossman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2575-6686","authenticated-orcid":false,"given":"Michaela Louise","family":"Schi\u00f8tz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"1","key":"key20260907112714_B1","first-page":"1","article-title":"The Social, Economic, and Public Health Consequences of Global Population Aging: Implications for Social Work Practice and Public Policy","volume":"2","year":"2017","journal-title":"Journal of Social Work in the Global Community"},{"issue":"14","key":"key20260907112714_B2","article-title":"Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review","volume":"16","year":"2019","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"1","key":"key20260907112714_B3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.15256\/joc.2015.5.39","article-title":"Care Coordination of Multimorbidity: A Scoping Study","volume":"5","year":"2015","journal-title":"Journal of Comorbidity"},{"issue":"1","key":"key20260907112714_B4","article-title":"Interorganisational Integration: Healthcare Professionals\u2019 Perspectives on Barriers and Facilitators within the Danish Healthcare System","volume":"16","year":"2016","journal-title":"International Journal of Integrated Care"},{"issue":"1","key":"key20260907112714_B5","article-title":"Integration of healthcare rehabilitation in chronic conditions","volume":"10","year":"2010","journal-title":"International Journal of Integrated Care"},{"issue":"1","key":"key20260907112714_B6","article-title":"Health Professionals on Cross-Sectoral Collaboration Between Mental Health Hospitals and Municipalities: A Critical Discourse Analysis","volume":"32","year":"2025","journal-title":"Nursing Inquiry"},{"issue":"4","key":"key20260907112714_B7","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1177\/00207640241299387","article-title":"Perspectives of healthcare professionals on cross-sectoral collaboration between mental health centers and municipalities: A qualitative study","volume":"71","year":"2025","journal-title":"The International Journal of Social Psychiatry"},{"issue":"1","key":"key20260907112714_B8","article-title":"Something is amiss in Denmark: A comparison of preventable hospitalisations and readmissions for chronic medical conditions in the Danish Healthcare system and Kaiser Permanente","volume":"11","year":"2011","journal-title":"BMC Health Services Research"},{"issue":"1","key":"key20260907112714_B9","article-title":"Intersectoral Ward Rounds on Patients Admitted to Temporary Twenty-Four-Hour Accommodations in Denmark: Case Study","volume":"22","year":"2022","journal-title":"International Journal of Integrated Care"},{"issue":"9","key":"key20260907112714_B10","article-title":"Cross-sector problems of collaboration in psychiatry","volume":"60","year":"2013","journal-title":"Danish Medical Journal"},{"issue":"1","key":"key20260907112714_B11","article-title":"Cross-sector Service Provision in Health and Social Care: An Umbrella Review","volume":"16","year":"2016","journal-title":"International Journal of Integrated Care"},{"issue":"4","key":"key20260907112714_B12","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.gerinurse.2010.01.003","article-title":"Exploration of Informal Caregiving Following Hip Fracture","volume":"31","year":"2010","journal-title":"Geriatric Nursing"},{"issue":"1","key":"key20260907112714_B13","article-title":"Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: a qualitative interview study","volume":"20","year":"2020","journal-title":"BMC Health Services Research"},{"key":"key20260907112714_B14","article-title":"Coordination between primary and secondary care: the role of electronic messages and economic incentives","volume":"17","year":"2017","journal-title":"BMC Health Services Research"},{"key":"key20260907112714_B15","article-title":"Building Cross-sectoral Collaborations to Address Perinatal Health Inequities: Insights From the Dutch Healthy Pregnancy 4 All-3 Program","volume":"13","year":"2024","journal-title":"International Journal of Health Policy and Management"},{"issue":"1","key":"key20260907112714_B16","article-title":"What works when working together?: Cross-sector collaboration barriers & facilitators of a built environment Health Impact Assessment in Southern Nevada","volume":"19","year":"2024","journal-title":"International Journal of Qualitative Studies on Health and Well-being"},{"issue":"4","key":"key20260907112714_B17","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1046\/j.1532-5415.2003.51186.x","article-title":"Improving the Quality of Transitional Care for Persons with Complex Care Needs","volume":"51","year":"2003","journal-title":"Journal of the American Geriatrics Society"},{"issue":"5","key":"key20260907112714_B18","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1111\/j.1532-5415.2004.52202.x","article-title":"Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial","volume":"52","year":"2004","journal-title":"Journal of the American Geriatrics Society"},{"issue":"4","key":"key20260907112714_B19","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1046\/j.1532-5415.2003.51185.x","article-title":"Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs","volume":"51","year":"2003","journal-title":"Journal of the American Geriatrics Society"},{"key":"key20260907112714_B20","unstructured":"NHS England. Patient initiated follow-up. Available from: https:\/\/www.england.nhs.uk\/outpatient-transformation-programme\/patient-initiated-follow-up-giving-patients-greater-control-over-their-hospital-follow-up-care\/ (Accessed on 20. April 2026)."},{"key":"key20260907112714_B21","unstructured":"Skaraborg Hospital. Self-referrel. Available from: https:\/\/www.vgregion.se\/en\/s\/skaraborg-hospital\/For-you-as-a-patient\/self-referral\/ (Accessed on 20. April 2026)."},{"key":"key20260907112714_B22","article-title":"The Territorial Operative Center: an innovative management for Assisted Hospital Discharges in the health district of Vignola, Modena, Italy","year":"2023"},{"issue":"10","key":"key20260907112714_B23","doi-asserted-by":"crossref","first-page":"3179","DOI":"10.1007\/s11606-021-06737-1","article-title":"A Consensus-Based Checklist for Reporting of Survey Studies (CROSS)","volume":"36","year":"2021","journal-title":"Journal of General Internal Medicine"},{"issue":"2","key":"key20260907112714_B24","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","year":"2006","journal-title":"Qualitative Research in Psychology"},{"issue":"6","key":"key20260907112714_B25","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1111\/1475-6773.13210","article-title":"Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions","volume":"54","year":"2019","journal-title":"Health Services Research"},{"issue":"8","key":"key20260907112714_B26","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/jama.297.8.831","article-title":"Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care","volume":"297","year":"2007","journal-title":"JAMA"},{"issue":"3","key":"key20260907112714_B27","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1108\/13598541111127155","article-title":"Supply chain management practices for improving patient-oriented care","volume":"16","year":"2011","journal-title":"Supply Chain Management: An International Journal"},{"issue":"1","key":"key20260907112714_B28","article-title":"Municipal healthcare professionals\u2019 interprofessional collaboration during older patients\u2019 transitions in the municipal health and care services: a qualitative study","volume":"22","year":"2022","journal-title":"BMC health services research"},{"issue":"3","key":"key20260907112714_B29","article-title":"The Role of Family or Community Nurse in Dealing with Frail and Chronic Patients in Italy: A Scoping Review","volume":"9","year":"2024","journal-title":"Geriatrics"}],"container-title":["International Journal of Integrated Care"],"original-title":[],"link":[{"URL":"https:\/\/ijic.org\/articles\/10188\/files\/6a9ea00e19fb9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ijic.org\/articles\/10188\/files\/6a9ea570893ab.xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ijic.org\/articles\/10188\/files\/6a9e9f513a145.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:11:08Z","timestamp":1788783068000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijic.org\/articles\/10.5334\/ijic.10188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":29,"URL":"https:\/\/doi.org\/10.5334\/ijic.10188","relation":{},"ISSN":["1568-4156"],"issn-type":[{"value":"1568-4156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]}}}