TY  - JOUR
AU  - Lim, SM
AU  - Physio, LIB
AU  - Horsburgh, A
AU  - Maier, AB
Y2  - 2020/11/27
Y1  - 2021/02/01
SN  - 1525-8610
UR  - http://hdl.handle.net/11343/252494
AB  - OBJECTIVES: 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.
LA  - English
PB  - ELSEVIER SCIENCE INC
T1  - Home First! Identification of Hospitalized Patients for Home-Based Models of Care
DO  - 10.1016/j.jamda.2020.05.061
IS  - Journal of the American Medical Directors Association (JAMDA): long-term care: management, applied research and clinical issues
VL  - 22
IS  - 2
SP  - 413-+
L1  - /bitstream/handle/11343/252494/PIIS1525861020304874.pdf?sequence=1&isAllowed=y
ER  -