Effectiveness of a discharge planning and community support programme in preventing readmission of high-risk older patients

Effectiveness of a discharge planning and community support programme in preventing readmission of high-risk older patients

To examine the effectiveness of Integrated Care and Discharge Support for elderly patients in reducing accident and emergency department attendance, acute hospital admissions, and hospital bed days after discharge. Factors that compromise its effectiveness were investigated and cost analysis was per...

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Veröffentlicht in:Hong Kong medical journal = Xianggang yi xue za zhi 2015-06, Vol.21 (3), p.208-216
Hauptverfasser: Lin, Francis O Y, Luk, James K H, Chan, T C, Mok, Winnie W Y, Chan, Felix H W
Format: Artikel
Sprache:eng
Schlagworte:
Accidental Falls - prevention & control
Age Factors
Aged
Aged, 80 and over
Case Management
Cohort analysis
Cost reduction
Delivery of Health Care, Integrated
Discharge planning
Emergency medical care
Emergency Service, Hospital - utilization
Female
Geriatric Assessment
Geriatrics
Health care policy
Hemoglobins - metabolism
Hospitals
Humans
Integrated delivery systems
Male
Nurses
Older people
Patient admissions
Patient Discharge
Patient Readmission - economics
Patient Readmission - statistics & numerical data
Polypharmacy
Prospective Studies
Recruitment
Residence Characteristics
Risk Factors
Serum Albumin - metabolism
Social services
Social support
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Beschreibung
Zusammenfassung:To examine the effectiveness of Integrated Care and Discharge Support for elderly patients in reducing accident and emergency department attendance, acute hospital admissions, and hospital bed days after discharge. Factors that compromise its effectiveness were investigated and cost analysis was performed. Cohort prospective study. Integrated Care and Discharge Support for elderly patients in Hong Kong West Cluster. Home-dwelling patients recruited between April 2012 and March 2013 into Integrated Care and Discharge Support for elderly patients in Hong Kong West Cluster. A total of 1090 older patients were studied. The Integrated Care and Discharge Support for elderly patients programme reduced accident and emergency department attendance by 40% (P
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj144304