Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions

Dai, Jun; Liu, Frank; Irwanto, Deni; Kumar, Manoj; Tiwari, Nabaraj; Chen, Jack; Xu, Yuan; Smith, Matthew; Chan, Daniel K.

doi:10.1002/agm2.12176

Cited by 10 publications

(8 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, MXS services can benefit the entire health care system by alleviating pressure on the acute care system. Other in-reach services used to increase hospital avoidance, such as acute geriatric services should be designed and evaluated with input from the views of residents, so that research has broader applicability [ 24 ].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Residents’ perspectives of mobile X-ray services in support of healthcare-in-place in residential aged care facilities: a qualitative study

et al. 2022

View full text Add to dashboard Cite

Background Mobile X-ray services (MXS) could be used to investigate clinical issues in aged care residents within familiar surroundings, reducing transfers to and from emergency departments and enabling healthcare to be delivered in residential aged care facilities. There is however little research exploring consumer perspectives about such services. The objective of this research was to explore the perspectives and preferences of residents about the provision of MXS in residential aged care facilities, including their knowledge about the service, perceived benefits, and factors that require consideration for effective implementation. Methods A qualitative study design was used. The setting for the study included four residential aged care facilities of different sizes from different parts of a South Australian city. Purposive sampling was used to recruit participants. 16 residents participated in semi-structured interviews that were audio-recorded and transcribed verbatim. Data were inductively derived using thematic analysis. Results Participants had a mean age of 85 years, 56% were female, 25% had dementia and 25% had had a mobile X-ray in the last 12 months. Four themes were developed. Participants preferred mobile X-rays, provided as healthcare-in-place, to improve accessibility to them and minimize physical and psychological discomfort. Participants had expectations about the processes for receiving mobile X-rays. Costs of X-rays to people, family and society were a consideration. Decision making required residents be informed about mobile X-rays. Conclusions Residents have positive views of MXS as they can receive healthcare-in-place, with familiar people and surroundings. They emphasised that MXS delivered in residential aged care facilities need to be of equivalent quality to those found in other settings. Increased awareness of mobile X-ray services is required.

show abstract

Section: Discussion/conclusionmentioning

confidence: 99%

Residents’ perspectives of mobile X-ray services in support of healthcare-in-place in residential aged care facilities: a qualitative study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…16 Similarly, hospital avoidance programs in RACFs describe using MXS, but do not mention cost considerations for residents, possibly because health services paid for MXS. 5,17,18 The present study indicates for business viability, MXS providers charge residents an upfront fee (including outof-pocket costs), which may impact on accessibility of MXS for all, with implications for residents, ICs and the wider health-care system. Whilst the call-out MBS rebate has tried to address this, enabling some MXS providers to bulk bill residents, 19 some providers continue to charge an out-of-pocket cost in addition to the rebate.…”

Section: Discussionmentioning

confidence: 86%

“…For example, a UK study of decision‐making about whether to manage RACF residents in‐place or transfer to ED did not indicate whether out‐of‐pocket costs for residents played a role 16 . Similarly, hospital avoidance programs in RACFs describe using MXS, but do not mention cost considerations for residents, possibly because health services paid for MXS 5,17,18 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Economic and cost considerations of delivering and using mobile X‐ray services in residential aged care facilities: A qualitative study

et al. 2023

View full text Add to dashboard Cite

ObjectiveTo describe the economic and cost considerations of mobile X‐ray services (MXS) in residential aged care facilities (RACFs), according to stakeholders (involved in residents' healthcare), residents living in RACFs and informal carers (ICs) of residents.MethodsSemistructured interviews were conducted with 20 residents and 27 ICs recruited from six RACFs across metropolitan Adelaide (South Australia, Australia), and 22 stakeholders, on their perspectives of using MXS in RACFs. Data relating to economic and cost considerations were extracted and analysed using thematic analysis.ResultsResidents' mean age was 85 years, 60% were women and 40% had experienced an MXS in the last 12 months. Most ICs were daughters (70%) and wives (11%) and 30% had a family member who had experienced an MXS in the last 12 months. Stakeholders included RACF staff, GPs, a hospital avoidance program clinician, paramedics, emergency department clinicians, MXS radiographers and manager, and a radiologist. Four themes were presented: (1) business considerations, where private providers found it necessary to charge residents a co‐payment to deliver MXS; (2) cost and payment process as a potential barrier to using MXS, with varied willingness and ability to pay for an MXS co‐payment, and equity concerns; (3) overcoming cost and payment barriers, with staff and consumers sometimes using strategies to overcome cost barriers; and (4) perceived cost benefits of MXS to the healthcare system, residents and ICs.ConclusionsMobile X‐ray services providers charge residents an upfront co‐payment for business viability, which can be a barrier to some residents wishing to access MXS.

show abstract

“…Confirmation of the protective effect of earlier access to inpatient geriatric care could inform the extension of current residential care outreach services (e.g., Ref. 25–27) into the community (e.g., Ref. 28) or primary care (e.g., Ref.…”

Section: Discussionmentioning

confidence: 99%

An exploration of healthcare use in older people waiting for and receiving Australian community‐based aged care services

Edney,

Haji Ali Afzali,

Visvanathan

et al. 2023

Geriatrics Gerontology Int

View full text Add to dashboard Cite

AimHome care packages (HCPs) facilitate older individuals to remain at home, with longer HCP wait times associated with increased mortality risk. We analyze healthcare cost data pre‐ and post‐HCP access to inform hypotheses around the effects of healthcare use and mortality risk.MethodsRegression models were used to assess the impact of delayed HCP access on healthcare costs and to compare costs whilst waiting and in the 6‐ and 12 month periods post‐HCP access for 16 629 older adults.ResultsAverage wait time for a HCP was 89.7 days (SD = 125.6) during the study period. Wait‐time length had no impact on any healthcare cost category or time period. However, total per day healthcare costs were higher in the 6 and 12 months post‐receipt of a HCP (AU$61.5, AU$63, respectively) compared with those in the time waiting for a HCP (AU$48.1). Inpatient care accounted for a higher proportion of total healthcare costs post‐HCP (AU$45.1, AU$46.3, respectively) compared with in the wait time (AU$30.6), whilst spending on medical services and pharmaceuticals reduced slightly in the 6 month (AU$7.1, AU$6.3) and 12 month (AU$7.2, AU$6.3) post‐HCP periods compared with in the wait time (AU$7.9, AU$7.1).ConclusionsIncreased spending post‐HCP on inpatient care or non‐health support afforded by HCPs may offer protective effects for mortality and risk of admission to aged care. Further research should explore the association between delayed access to inpatient care for geriatric syndromes and mortality to inform recommendations on extensions to residential care outreach services into the community to improve the timely identification of the need for inpatient care. Geriatr Gerontol Int 2023; ••: ••–••.

show abstract

Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions

Cited by 10 publications

References 15 publications

Residents’ perspectives of mobile X-ray services in support of healthcare-in-place in residential aged care facilities: a qualitative study

Residents’ perspectives of mobile X-ray services in support of healthcare-in-place in residential aged care facilities: a qualitative study

Economic and cost considerations of delivering and using mobile X‐ray services in residential aged care facilities: A qualitative study

An exploration of healthcare use in older people waiting for and receiving Australian community‐based aged care services

Contact Info

Product

Resources

About