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Evaluation of a New Zealand program to improve transition of care for older high risk adults
Author(s)Thomas E Robinson, Lifeng Zhou, Ngaire Kerse
Journal titleAustralasian Journal on Ageing, vol 34, no 4, December 2015
PublisherWiley, December 2015
Pagespp 269-274
Sourcewileyonlinelibrary.com/journal/ajag
KeywordsIn-patients ; At risk ; Discharge [hospitals] ; Aftercare ; Evaluation ; New Zealand.
AnnotationTransition interventions aim to improve care and reduce hospital readmissions but evaluations of these interventions have reported inconsistent results. The aim of this study was to report on the evaluation of an intervention implemented in Auckland, New Zealand. Participants were people over the age of 65 who had an acute medical admission and were at high risk of readmission. The intervention included an improved discharge process and nurse telephone follow-up soon after discharge. Outcomes were 28 day readmission rates and emergency attendances. The study was observational, using both interrupted times series and regression discontinuity designs. 5,239 patients were treated over a one year period. There was no change in readmission rates or ED attendances or secondary outcomes. Not all patients received all components of the intervention. After concluding that this transition intervention was not successful, the authors discuss possible reasons and implications. (JL).
Accession NumberCPA-160205219 A
ClassmarkLF7: CA3: LD:QKJ: LN: 4C: 7YN

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