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The impact of primary care quality on inpatient length of stay for people with dementia: an analysis by discharge destination

Author

Listed:
  • Panagiotis Kasteridis

    (Centre for Health Economics, University of York, UK)

  • Maria Goddard

    (Centre for Health Economics, University of York, UK)

  • Rowena Jacobs

    (Centre for Health Economics, University of York, UK)

  • Rita Santos

    (Centre for Health Economics, University of York, UK)

  • Anne Mason

    (Centre for Health Economics, University of York, UK)

Abstract

Dementia is a chronic and progressive condition, characterized by memory loss, mood swings, and difficulties in communication, mobility, reasoning and self-care. Around 800,000 individuals in the UK have dementia and the disease imposes a huge financial burden on the formal care systems, as well as having an enormous emotional impact on carers and their families. Older people with dementia currently occupy up to 25% of NHS hospital beds and stay longer than those without dementia. Hospital admission can have a significant negative impact on the person with dementia, adversely affecting their general physical health as well as their dementia symptoms. Since 2006, GPs have been paid to identify and review patients with dementia as part of the Quality and Outcomes Framework (QOF). The dementia QOF review should focus on the patient's and carer's support needs, address the patient's physical and mental health, and assess communication and coordination arrangements across care boundaries. Where appropriate, this includes ensuring that suitable discharge arrangements are in place for patients admitted to hospital, for example by linking the patient to the local community mental health team. The QOF review may help facilitate timely discharge, but this has not previously been tested.

Suggested Citation

  • Panagiotis Kasteridis & Maria Goddard & Rowena Jacobs & Rita Santos & Anne Mason, 2015. "The impact of primary care quality on inpatient length of stay for people with dementia: an analysis by discharge destination," Working Papers 113cherp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:113cherp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP113_primary_care_quality_LoS_dementia_discharge.pdf
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    References listed on IDEAS

    as
    1. Pierre Moïse & Michael Schwarzinger & Myung-Yong Um, 2004. "Dementia Care in 9 OECD Countries: A Comparative Analysis," OECD Health Working Papers 13, OECD Publishing.
    2. Panagiotis Kasteridis & Anne R Mason & Maria K Goddard & Rowena Jacobs & Rita Santos & Gerard McGonigal, 2015. "The Influence of Primary Care Quality on Hospital Admissions for People with Dementia in England: A Regression Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-14, March.
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