Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Royal North Shore Hospital, Sydney, New South Wales, Australia.
Australas J Ageing. 2021 Sep;40(3):e244-e253. doi: 10.1111/ajag.12906. Epub 2021 Feb 5.
To compare the health system utilisation patterns and health outcomes of residential aged care facility (RACF) residents reviewed by a hospital avoidance program to those of RACF residents who received usual care.
A retrospective evaluation of a hospital avoidance program provided by a hospital-based medical and nursing outreach team. Residents reviewed by the program were randomly matched 1:1 to comparison group residents based on age group, sex and number of co-morbidities. Number of hospital admissions, excess hospital length of stay and excess hospital treatment costs were compared.
Residents reviewed by the program spent an average 9-10 days fewer in hospital with AUD$2,091 to $8,014 lower hospital treatment costs compared to comparison group residents.
Rapid provision of outreach services for the management of acute care of RACF residents may reduce the number of days residents spend in hospital, as well as reducing the associated hospital treatment costs.
比较通过医院回避计划审查的养老院居民与接受常规护理的养老院居民的卫生系统利用模式和健康结果。
对医院为基础的医疗和护理外展团队提供的医院回避计划进行回顾性评估。根据年龄组、性别和合并症数量，对接受该计划审查的居民与对照组居民进行 1:1 随机匹配。比较了住院人数、住院时间过长和住院治疗费用过高的情况。
与对照组居民相比，接受该计划审查的居民住院时间平均减少了 9-10 天，住院治疗费用减少了 2091 至 8014 澳元。
快速提供养老院居民急性护理管理的外展服务，可能会减少居民住院天数，并降低相关的住院治疗费用。
