[A tool for improving the transition between hospital and community care for the elderly]. / Un outil d'amélioration de la transition hôpital-ville chez les personnes âgées.

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.