Health initiatives to reduce the potentially preventable hospitalisation of older people in rural and regional Australia

McManamny, Tegwyn; Boyd, Leanne; Sheen, Jade; Lowthian, Judy

doi:10.1002/hpja.539

Cited by 2 publications

(1 citation statement)

References 13 publications

(18 reference statements)

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“…The burden increases with age and the geographical remoteness of the patient [6]. More than half of these preventable admissions (61%) relate to chronic conditions, many of which may be avoided through timely, quality primary care, and management at home [6][7][8][9]. Home-based care [10] involves two key strategies 1) the delivery of acute or subacute admitted services in a person's home and 2) acute health services, working with community and social services to provide community-based, non-admitted care or health care services [11,12].…”

Section: Introductionmentioning

confidence: 99%

Enhancing healthcare at home for older people in rural and regional Australia: A protocol for co-creation to design and implement system change

Needham,

Wheaton,

Wong Shee

et al. 2023

PLoS ONE

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Background World-wide, health service providers are moving towards innovative models of clinical home-based care services as a key strategy to improve equity of access and quality of care. To optimise existing and new clinical home-based care programs, evidence informed approaches are needed that consider the complexity of the health care system across different contexts. Methods We present a protocol for working with health services and their partners to perform rapid identification, prioritisation, and co-design of content-appropriate strategies to optimise the delivery of healthcare at home for older people in rural and regional areas. The protocol combines Systems Thinking and Implementation Science using a Consensus Mapping and Co-design (CMC) process delivered over five workshops. Discussion The protocol will be implemented with rural and regional healthcare providers to identify digital and non-digital solutions that have the potential to inform models of service delivery, improve patient experience, and optimise health outcomes. The combination of system and implementation science is a unique approach for optimising healthcare at home for older populations, especially in the rural context where need is high. This is the first protocol to integrate the use of systems and implementation science into one process and articulating these methods will help with replicating this in future practice. Results of the design phase will translate into practice through standard health service planning methods to enhance implementation and sustainability. The delivery of the protocol will include building capacity of health service workers to embed the design, implementation, and evaluation approach into normal practice. This protocol forms part of the DELIVER (Delivering Enhanced heaLthcare at home through optImising Virtual tools for oldEr people in Rural and regional Australia) Project. Funded by Australia’s Medical Research Future Fund, DELIVER involves a collaboration with public health services of Western Victoria, Australia.

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Section: Introductionmentioning

confidence: 99%

Enhancing healthcare at home for older people in rural and regional Australia: A protocol for co-creation to design and implement system change

Needham,

Wheaton,

Wong Shee

et al. 2023

PLoS ONE

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Primary Health Care Interventions for Potentially Preventable Ear, Nose, and Throat Conditions in Rural and Remote Areas: A Systematic Review

O’Neill,

Begg,

Hyett

et al. 2024

Ear Nose Throat J

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Background:Primary and secondary level preventive primary health care programs providing early detection and timely management of ear, nose, and throat (ENT) conditions in rural and remote regions are fundamental to preventing downstream impacts on health, social, and educational outcomes. However, the range and quality of evidence is yet to be reviewed. Objectives: The study objectives were to identify and synthesize the evidence of primary health care interventions for detection and management of ENT conditions in rural and remote areas, and evaluate the quality of the research and effectiveness of interventions. Methods: A systematic literature search of 6 databases (February 2023). The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement, and the quality appraisal of studies was evaluated using the Mixed Methods Appraisal Tool (initial screening questions: Are there clear research questions? Do the collected data allow to address the research questions?). Results: Ten studies met the inclusion criteria. The results describe interventions for detection and management of respiratory tract infections, otitis media, and ear disease in primary health care settings. No studies met the inclusion criteria for tonsillitis. The role of community-based programs and allied health workers in the detection and management of ENT conditions was found to be effective in rural and remote regions. Only 2 of the studies met the screening criteria for quality appraisal. Conclusions: The study findings may inform future programs and policy development to address detection and management of ENT conditions in rural and remote primary care settings, and supports the need for further research on innovative models of care targeting potentially preventable hospitalizations through primary and secondary level prevention.

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Health initiatives to reduce the potentially preventable hospitalisation of older people in rural and regional Australia

Cited by 2 publications

References 13 publications

Enhancing healthcare at home for older people in rural and regional Australia: A protocol for co-creation to design and implement system change

Enhancing healthcare at home for older people in rural and regional Australia: A protocol for co-creation to design and implement system change

Primary Health Care Interventions for Potentially Preventable Ear, Nose, and Throat Conditions in Rural and Remote Areas: A Systematic Review

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