Development of a community health and wellness pilot in a subsidised seniors' apartment building in Hamilton, Ontario: Community Health Awareness Program delivered by Emergency Medical Services (CHAP-EMS)

被引：20

作者：

Agarwal G. ^{[1
]}

Angeles R.N. ^{[1
]}

McDonough B. ^{[2
]}

McLeod B. ^{[3
]}

Marzanek F. ^{[1
]}

Pirrie M. ^{[1
]}

Dolovich L. ^{[1
,4
]}

机构：

[1] Department of Family Medicine, Faculty of Health Sciences, McMaster University, 175 Longwood Road South, Hamilton, L8P 0A1, ON

[2] City of Hamilton, Public Health Services Unit, 8-1447 Upper Ottawa, Hamilton, L8W 3J6, ON

[3] Hamilton Paramedic Services, 1227 Stone Church East, Hamilton, L8W 2C6, ON

[4] Centre for Evaluation of Medicines, 105 Main Street East, Level P1, Hamilton, L8N 1G6, ON

来源：

BMC Research Notes | / 8卷 / 1期

关键词：

Cardiovascular health; Community paramedicine; Diabetes risk; EMS calls; Falls risk; Health assessment; Health promotion; Lifestyle risk screening; Older adults; Seniors housing;

D O I：

10.1186/s13104-015-1061-8

中图分类号：

学科分类号：

摘要：

Background: Older adults have higher risk of developing cardiovascular disease, diabetes and falls, leading to costly emergency medical service (EMS) calls and emergency room visits. We developed the Community Health Assessment Program through EMS (CHAP-EMS) that focuses on health promotion/prevention of hypertension and diabetes, links with primary care practitioners, targets seniors living in subsidized housing, and aims to reduce morbidity from these conditions, thereby reducing EMS calls. In this pilot study, we evaluated the feasibility of implementing the CHAP-EMS, attendance rates, prevalence of high blood pressure and cardiovascular risk factors. Methods: In this pilot study the CHAP-EMS was implemented in the intervention site over a 12 month period. BP, lifestyle, cardiovascular risk and EMS call rates were collected and descriptive analyses performed. Participants were residents (low income seniors) of a subsidized housing complex in Hamilton, Ontario. Two paramedics provided once-weekly sessions, measuring BP, assessing diabetes/lifestyle risk (CANRISK questionnaire) and discussed prevention/local wellness activities in the intervention site. Follow up was invited. Results: A total of 1365 visits with 79 unique participants occurred; 48 (25.2%) visited at least twice; mean age was 72.2; 87.2% were 65 years of age and older and 68.1% were female; 90.3% had a family doctor. Overall, 45.2% had elevated BP initially from the total; 50.0% of participants previously diagnosed with hypertension had elevated BP while 33.3% not previously diagnosed had elevated BP. Almost 1 in 5 (19.4%) had diabetes; 66.7% had moderate to high risk of developing diabetes. Conclusion: This pilot study indicates that CHAP-EMS is a feasible program that could have impact on BP, lifestyle factors, diabetes risk and EMS calls in the buildings in which it was implemented. © 2015 Agarwal et al.; licensee BioMed Central.

引用

共 26 条

[1]

Platts-Mills T.F., Leacock B., Caba J.G., Shofer F.S., McLean S.A., Emergency medical services use by the elderly: Analysis of a statewide database, Prehosp Emerg Care, 14, pp. 329-333, (2010)

[2]

Svenson J.E., Patterns of Use of emergency medical transport: A population-based study, Am J Emerg Med, 18, 2, pp. 130-134, (2000)

[3]

Weiss S.J., Earnst A.A., Miller P., Russel S., Repeat EMS Transports among elderly emergency department patients, Prehosp Emerg Care, 6, pp. 6-10, (2002)

[4]

Wofford J.L., Moran W.P., Heuser M.D., Schwartz E., Velez R., Mittelmark I.M.B., Emergency medical transport of the elderly: A population-based study, Am J Emerg Med, 13, 3, pp. 297-300, (1995)

[5]

Hamilton Central Health Link Business Plan, (2013)

[6]

CIHI Survey: ED Spending in Canada: A Focus on the Cost of Patients Waiting for Access to An In-Patient Bed in Ontario, (2009)

[7]

Gibler K., Aging subsidized housing residents: A growing problem in U.S. Cities, J Real Estate Res, 22, pp. 395-420, (2003)

[8]

Sanders A., Stone R., Supporting Aging in Place in Subsidized Housing: An Evaluation of the Well Elder Program, (2011)

[9]

Code Red: Band-Aid Fixes Getting Us Nowhere, (2010)

[10]

Sinha S.K., Living Longer, Living Well: Highlights and Key Recommendations, (2012)

← 1 2 3 →