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Centre for Policy on Ageing | |
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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(s) | Panagiotis Kasteridis, Maria Goddard, Rowena Jacobs |
| Corporate Author | Centre for Health Economics, University of York |
| Publisher | Centre for Health Economics, University of York, York, July 2015 |
| Pages | 41 pp (CHE Research paper 113) |
| Source | The Publications Office, Centre for Health Economics, University of York, York YO10 5DD. Email: che-pub@york.ac.uk CHE publications website: http://www.york.ac.uk/che/publications/in-house/ |
| Keywords | Dementia ; In-patients ; Discharge [hospitals] ; General practice ; Medical care ; Quality ; England. |
| Annotation | Older people with dementia currently occupy up to 25% of NHS hospital beds and stay longer than those without dementia. 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, the patient's physical and mental health, and communication and coordination arrangements across care boundaries. This analysis used a dataset of 36,744 individuals admitted over the period 2006/7 to 2010/11; also admissions data from Hospital Episode Statistics, practice-level data on the QOF dementia review, and NHS England data on delayed transfers of care (DTOC). For those discharged home or to a community setting, the QOF review may have a small negative influence on length of stay. Such modest effects suggest that the QOF review does not have a major influence on length of stay (LoS) for dementia hospital admissions. The number of clinical conditions was consistently associated with longer LoS. GPs are uniquely placed to manage multimorbidity in dementia patients; this may help prevent some hospitalisations. There may also be scope within the QOF review to encourage greater preventative uptake of outpatient and community services to enable people with dementia to live independently for longer. This research was funded by the Department of Health (DH), and under the Policy Research Unit in the Economics of is one of three analyses undertaken as part of a larger project, 'Higher quality primary care for people with dementia: the effects on hospital admissions, hospital discharges to care homes and length of stay' (Final Report to the Department of Health, April 2015). (RH) |
| Accession Number | CPA-150807001 E |
| Classmark | EA: LF7: LD:QKJ: L5: LK: 59: 82 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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