Can transfers from residential aged care facilities to the Emergency Department be avoided through improved primary care services? Data from qualitative interviews

Glenn Arendts; Tracy Reibel; Jim Codde; Jackie Frankel

doi:10.1111/j.1741-6612.2009.00415.x

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Can transfers from residential aged care facilities to the Emergency Department be avoided through improved primary care services? Data from qualitative interviews

Journal article

Peer reviewed

Can transfers from residential aged care facilities to the Emergency Department be avoided through improved primary care services? Data from qualitative interviews

Glenn Arendts, Tracy Reibel, Jim Codde and Jackie Frankel

Australasian journal on ageing, Vol.29(2), pp.61-65

2010

DOI: https://doi.org/10.1111/j.1741-6612.2009.00415.x

PMID: 20553535

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Abstract

frail older people

emergency medicine

patienttransfer

qualitative research

Aim: To explore the factors that influence the transfer of patients from residential aged care facilities (RACF) to hospital emergency departments (ED), and describe features of improved primary care in RACF that could result in reduced transfer. Methods: a. Three focus groups conducted with family and carers of RACF residents, along with RACF, ED and general practice staff. b. Semistructured one-on-one interviews with nine residents of RACF. Results: Five main themes emerged - staffing and skill mix in RACF, treatment options in RACF, end of life decision-making, communication and bureaucratic requirements. Analysis of the semistructured interviews demonstrated parallel concerns with many of the focus groups indicators. There was a strong but not universal preference among residents to minimise RACF to ED transfer. Conclusions: The transfer of residents from RACF to ED is influenced by multiple interrelated factors, and strategies to reduce transfer should address these.

Details

Title: Can transfers from residential aged care facilities to the Emergency Department be avoided through improved primary care services? Data from qualitative interviews
Authors/Creators: Glenn Arendts - The University of Western Australia
Tracy Reibel - The University of Western Australia
Jim Codde - North Metropolitan Health Service
Jackie Frankel - Fremantle Hospital
Publication Details: Australasian journal on ageing, Vol.29(2), pp.61-65
Publisher: Wiley
Number of pages: 5
Grant note: State Health Research Advisory Council of the Department of Health, Government of Western Australia
Identifiers: 991005569330407891
Murdoch Affiliation: Ngangk Yira Institute for Change
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.112 Palliative Care; 1.112.161 Dementia Caregivers
Web Of Science research areas: Geriatrics & Gerontology; Gerontology
ESI research areas: Social Sciences, general