An integrated knowledge translation approach to address avoidable rehospitalisations and unplanned admissions for older people in South Australia: implementation and evaluation program plan

被引：5

作者：

Harvey, Gillian ^{[1
]}

Pham, Clarabelle T. ^{[2
]}

Inacio, Maria C. ^{[3
]}

Laver, Kate ^{[4
]}

Lynch, Elizabeth A. ^{[1
]}

Jorissen, Robert N. ^{[3
]}

Karnon, Jonathan ^{[2
]}

Bourke, Alice ^{[5
]}

Forward, John ^{[6
]}

Maddison, John ^{[7
]}

Whitehead, Craig ^{[4
]}

Rupa, Jesmin ^{[4
]}

Mcnamara, Carmel ^{[8
]}

Crotty, Maria ^{[4
]}

机构：

[1] Flinders Univ S Australia, Coll Nursing & Hlth Sci, Adelaide, Australia

[2] Flinders Univ S Australia, Flinders Hlth & Med Res Inst, Adelaide, Australia

[3] South Australian Hlth & Med Res Inst, Registry Sr Australians, Adelaide, Australia

[4] Flinders Univ S Australia, Flinders Med Ctr, Coll Med & Publ Hlth, Div Rehabil Aged & Palliat Care, Adelaide, Australia

[5] Royal Adelaide Hosp, Dept Geriatr & Rehabil Med, Adelaide, Australia

[6] Northern Adelaide Local Hlth Network, Aged Care Rehabil & Palliat Care Div, Adelaide, Australia

[7] Med Serv, Northern Adelaide Local Hlth Network, Adelaide, Australia

[8] Univ Adelaide, Adelaide Nursing Sch, Adelaide, Australia

来源：

IMPLEMENTATION SCIENCE COMMUNICATIONS | 2021年 / 2卷 / 01期

关键词：

Hospitalisations; Unplanned rehospitalisations; Emergency department encounters; Older people; Implementation; Evaluation; Integrated knowledge translation; Quality improvement; EMERGENCY HOSPITAL ADMISSION; PRIMARY-CARE; INTERVENTIONS; RISK; READMISSIONS; VALIDATION; MODEL;

D O I：

10.1186/s43058-021-00141-w

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background Repeated admission to hospital can be stressful for older people and their families and puts additional pressure on the health care system. While there is some evidence about strategies to better integrate care, improve older patients' experiences at transitions of care, and reduce preventable hospital readmissions, implementing these strategies at scale is challenging. This program of research comprises multiple, complementary research activities with an overall goal of improving the care for older people after discharge from hospital. The program leverages existing large datasets and an established collaborative network of clinicians, consumers, academics, and aged care providers.Methods The program of research will take place in South Australia focusing on people aged 65 and over. Three inter-linked research activities will be the following: (1) analyse existing registry data to profile individuals at high risk of emergency department encounters and hospital admissions; (2) evaluate the cost-effectiveness of existing 'out-of-hospital' programs provided within the state; and (3) implement a state-wide quality improvement collaborative to tackle key interventions likely to improve older people's care at points of transitions. The research is underpinned by an integrated approach to knowledge translation, actively engaging a broad range of stakeholders to optimise the relevance and sustainability of the changes that are introduced.Discussion This project highlights the uniqueness and potential value of bringing together key stakeholders and using a multi-faceted approach (risk profiling; evaluation framework; implementation and evaluation) for improving health services. The program aims to develop a practical and scalable solution to a challenging health service problem for frail older people and service providers.

引用

页数：7

共 45 条

[1] Potentially Inappropriate Medications and Risk of Hospitalization in Retirees Analysis of a US Retiree Health Claims Database [J].