Burkett Ellen, Scott Ian
MBBS, FACEM, Clinical Lead CARE-PACT and staff specialist ED, Emergency Department, Princess Alexandra Hospital, Woolloongabba, QLD.
Aust Fam Physician. 2015 Apr;44(4):204-9.
Ageing population trends create a strong imperative for healthcare systems to develop models of care that reduce dependence on hospital services. People living in residential aged care facilities (RACFs) currently have high rates of presentation to emergency departments. The care provided in these environments may not optimally satisfy the needs of frail older persons from RACFs.
OBJECTIVE: To describe the Comprehensive Aged Residents Emergency and Partners in Assessment, Care and Treatment (CARE-PACT) program: a hospital substitutive care and demand management project that aims to improve, in a fiscally efficient manner, the quality of care received by residents of aged care facilities when their acute healthcare needs exceed the scope of the aged care facility staff and general practitioners to manage independently of the hospital system.
The project delivers high-quality gerontic nursing and emergency specialist assessment, collaborative care planning, skills sharing across the care continuum and an individualised, resident-focused approach.
人口老龄化趋势迫切要求医疗保健系统开发能够减少对医院服务依赖的护理模式。目前，居住在老年护理机构（RACF）的人群前往急诊科就诊的比例很高。这些环境中提供的护理可能无法最佳地满足RACF中体弱老年人的需求。
描述综合老年居民紧急情况及评估、护理与治疗伙伴关系（CARE-PACT）项目：一个医院替代护理和需求管理项目，旨在以财政高效的方式，在老年护理机构居民的急性医疗需求超出老年护理机构工作人员和全科医生独立于医院系统进行管理的范围时，提高他们所接受护理的质量。
该项目提供高质量的老年护理和急诊专家评估、协作护理规划、跨护理连续体的技能共享以及以居民为中心的个性化方法。
