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Australas J Ageing. 2010 Dec;29(4):150-4. doi: 10.1111/j.1741-6612.2010.00418.x.

Transfers from residential aged care facilities to the emergency department are reduced through improved primary care services: an intervention study.

Author information

1
South Metropolitan Area Health Service, Perth, Western Australia, Australia.

Abstract

AIM:

  To assess the impact of an enhanced primary care service for residential aged care facilities (RACF) on the transfer of patients from RACF to a hospital emergency department (ED).

METHODS:

  A before-after study of an enhanced primary care service provided by experienced ED-based nurses under the governance of general practitioners. The intervention was analysed comparatively using standardised normal deviates and seasonal autoregressive integrated moving average models, complemented by qualitative assessment.

RESULTS:

  There was a statistically significant reduction (17%, P < 0.001) in the number of transfers during the intervention period. This finding held when adjusting for the seasonality of ED referrals over a 4-year period. The intervention was highly valued by clinicians in RACF and ED.

CONCLUSION:

  Enhanced primary care services reduce the number of transfers to ED from RACF.

[Indexed for MEDLINE]

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