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An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme

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  • Julia Crilly
  • Wendy Chaboyer
  • Marianne Wallis
  • Lukman Thalib
  • Denise Polit

Abstract

Aims and objectives. To undertake an outcomes evaluation of a Hospital in the Nursing Home (HINH) admission avoidance programme. Background. Admission avoidance type services such as Hospital in the Home have a place in improving service delivery for certain population groups. Research related to HINH has been limited, derived from various different health care systems internationally and results are varied. Design. A quasi‐experimental study was conducted at one regional hospital. Routinely collected health information system data from two separate data sources were linked to undertake analysis. Methods. Those in the intervention group were matched to a comparison group of patients on the basis of three characteristics (age, gender and diagnostic category). Other factors that could affect a patient’s hospital outcomes and length of stay (LOS) were statistically controlled for. Participants were aged care facility residents enrolled in a HINH programme (n = 62) and a matched group receiving usual in‐hospital care (n = 115). Emergency department (ED) outcome measures included LOS and re‐presentation. Hospital admission–related outcome measures included episode of care LOS, in‐hospital LOS and hospital readmission. Results. A significant independent relationship between HINH programme enrolment and shorter in‐hospital LOS was identified even after adjusting for other characteristics OR 0·16 (95% CI 0·28, 0·99 p

Suggested Citation

  • Julia Crilly & Wendy Chaboyer & Marianne Wallis & Lukman Thalib & Denise Polit, 2011. "An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(7‐8), pages 1178-1187, April.
    • Handle: RePEc:wly:jocnur:v:20:y:2011:i:7-8:p:1178-1187
    DOI: 10.1111/j.1365-2702.2010.03371.x
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    Cited by:

    1. Lijun Fan & Bill Lukin & Jingzhou Zhao & Jiandong Sun & Kaeleen Dingle & Rhonda Purtill & Sam Tapp & Xiang-Yu Hou, 2018. "Cost analysis of improving emergency care for aged care residents under a Hospital in the Nursing Home program in Australia," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-17, July.
    2. Barbara J. O'Neill & Trudy Dwyer & Kerry Reid‐Searl & Lynne Parkinson, 2018. "Nursing staff intentions towards managing deteriorating health in nursing homes: A convergent parallel mixed‐methods study using the theory of planned behaviour," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 992-1003, March.
    3. Hsiu‐Hsin Tsai & Yun‐Fang Tsai, 2018. "Development, validation and testing of a nursing home to emergency room transfer checklist," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 115-122, January.

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