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

期刊

AUSTRALASIAN JOURNAL ON AGEING
卷 29, 期 4, 页码 150-154

出版社

WILEY-BLACKWELL
DOI: 10.1111/j.1741-6612.2010.00418.x

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emergency department; frail older people; nursing homes; primary care

资金

  1. State Health Research Advisory Council of the Department of Health, Government of Western Australia

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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.

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