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dc.contributor.authorLim, SM
dc.contributor.authorPhysio, LIB
dc.contributor.authorHorsburgh, A
dc.contributor.authorMaier, AB
dc.date.accessioned2020-11-27T00:32:18Z
dc.date.available2020-11-27T00:32:18Z
dc.date.issued2021-02-01
dc.identifierpii: S1525-8610(20)30487-4
dc.identifier.citationLim, S. M., Physio, L. I. B., Horsburgh, A. & Maier, A. B. (2021). Home First! Identification of Hospitalized Patients for Home-Based Models of Care. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 22 (2), pp.413-+. https://doi.org/10.1016/j.jamda.2020.05.061.
dc.identifier.issn1525-8610
dc.identifier.urihttp://hdl.handle.net/11343/252494
dc.description.abstractOBJECTIVES: To determine the proportion of hospitalized inpatients suitable for an acute and subacute home-based inpatient bed substitutive service, to examine the ability of treating teams to identify suitable patients for this service, and to examine potential barriers toward inpatients receiving home-based care. DESIGN: Prospective point prevalence study over 2 days in April 2019; analysis of responses to survey questionnaires regarding the suitability for home-based care among inpatients with multiday admissions to acute and subacute wards in the Royal Melbourne Hospital (RMH), an Australian metropolitan tertiary referral center. SETTING AND PARTICIPANTS: Ward treating teams, clinicians affiliated with the home-based service called RMH@Home, and inpatients who were subsequently identified as being suitable for home-based care. MEASUREMENTS: Point prevalence and characteristics of inpatients suitable for a home-based bed substitutive service; identified by either treating teams or RMH@Home clinicians; and barriers to the provision of home-based care among ward inpatients. RESULTS: Survey responses were received for 620 of 635 inpatients [median age 69 years (interquartile range 53-81), 53% male], of which 69 (11.1%) were identified as being suitable for home-based inpatient bed substitution care. Treating team clinicians identified 26 patients, clinicians affiliated with RMH@Home identified a further 43 suitable patients. The most commonly reported barrier (38.1%) toward receiving home-based care was functional disability impeding ability to live at home. CONCLUSIONS AND IMPLICATIONS: A substantial proportion of hospitalized older patients could use home-based inpatient bed substitutive services. Clinicians experienced in home-based care are more skilled than ward-based clinicians in identifying suitable patients for this care model.
dc.languageEnglish
dc.publisherELSEVIER SCIENCE INC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleHome First! Identification of Hospitalized Patients for Home-Based Models of Care
dc.typeJournal Article
dc.identifier.doi10.1016/j.jamda.2020.05.061
melbourne.affiliation.departmentMedicine and Radiology
melbourne.source.titleJournal of the American Medical Directors Association (JAMDA): long-term care: management, applied research and clinical issues
melbourne.source.volume22
melbourne.source.issue2
melbourne.source.pages413-+
dc.rights.licensecc-by
melbourne.elementsid1458756
melbourne.contributor.authorMaier, Andrea
dc.identifier.eissn1538-9375
melbourne.accessrightsOpen Access


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