Transfers from residential aged care facilities to the emergency department are reduced through improved primary care services: An intervention study

Jim Codde; Glenn Arendts; Jackie Frankel; Mary Ivey; Tracy Reibel; Shirley Bowen; Paul Babich

doi:10.1111/j.1741-6612.2010.00418.x

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Transfers from residential aged care facilities to the emergency department are reduced through improved primary care services: An intervention study

Journal article

Peer reviewed

Transfers from residential aged care facilities to the emergency department are reduced through improved primary care services: An intervention study

Jim Codde, Glenn Arendts, Jackie Frankel, Mary Ivey, Tracy Reibel, Shirley Bowen and Paul Babich

Australasian journal on ageing, Vol.29(4), pp.150-154

2010

DOI: https://doi.org/10.1111/j.1741-6612.2010.00418.x

PMID: 21143359

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Abstract

mergency department

rail older people

nursing homes

primary care

Aim: To assess the impact of an enhanced primary care service for residential aged care facilities (RACF) on the transfer of patients from RACF to a hospital emergency department (ED). Methods: A before-after study of an enhanced primary care service provided by experienced ED-based nurses under the governance of general practitioners. The intervention was analysed comparatively using standardised normal deviates and seasonal autoregressive integrated moving average models, complemented by qualitative assessment. Results: There was a statistically significant reduction (17%, P < 0.001) in the number of transfers during the intervention period. This finding held when adjusting for the seasonality of ED referrals over a 4-year period. The intervention was highly valued by clinicians in RACF and ED. Conclusion: Enhanced primary care services reduce the number of transfers to ED from RACF.

Details

Title: Transfers from residential aged care facilities to the emergency department are reduced through improved primary care services: An intervention study
Authors/Creators: Jim Codde - North Metropolitan Health Service
Glenn Arendts - The University of Western Australia
Jackie Frankel - Fremantle Hospital
Mary Ivey - Fremantle Hospital
Tracy Reibel - The University of Western Australia
Shirley Bowen - Fremantle Hospital
Paul Babich - Fremantle Hospital
Publication Details: Australasian journal on ageing, Vol.29(4), pp.150-154
Publisher: Wiley
Number of pages: 5
Grant note: State Health Research Advisory Council of the Department of Health, Government of Western Australia
Identifiers: 991005569331407891
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