Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents
Abstract Background An existing hospital avoidance program, the Aged Care Rapid Response Team (ARRT), rapidly delivers geriatric outreach services to acutely unwell or older people with declining health at risk of hospitalisation. The aim of the current study was to explore health professionals’ per...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-06-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-06575-1 |
| _version_ | 1819001398340091904 |
|---|---|
| author | Luke Testa Tayhla Ryder Jeffrey Braithwaite Rebecca J. Mitchell |
| author_facet | Luke Testa Tayhla Ryder Jeffrey Braithwaite Rebecca J. Mitchell |
| author_sort | Luke Testa |
| collection | DOAJ |
| description | Abstract Background An existing hospital avoidance program, the Aged Care Rapid Response Team (ARRT), rapidly delivers geriatric outreach services to acutely unwell or older people with declining health at risk of hospitalisation. The aim of the current study was to explore health professionals’ perspectives on the factors impacting ARRT utilisation in the care of acutely unwell residential aged care facility residents. Methods Semi-structured interviews were conducted with two Geriatricians, two ARRT Clinical Nurse Consultants, an ED-based Clinical Nurse Specialist, and an Extended Care Paramedic. Interview questions elicited views on key factors regarding care decisions and care transitions for acutely unwell residential aged care facility residents. Thematic analysis was undertaken to identify themes and sub-themes from interviews. Results Analysis of interviews identified five overarching themes affecting ARRT utilisation in the care of acutely unwell residents: (1) resident care needs; (2) family factors; (3) enabling factors; (4) barriers; and (5) adaptability and responsiveness to the COVID-19 pandemic. Conclusion Various factors impact on hospital avoidance program utilisation in the care of acutely unwell older aged care facility residents. This information provides additional context to existing quantitative evaluations of hospital avoidance programs, as well as informing the design of future hospital avoidance programs. |
| first_indexed | 2024-12-20T22:48:35Z |
| format | Article |
| id | doaj.art-69af2f18b109483e8c36ceae9acfff76 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-20T22:48:35Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-69af2f18b109483e8c36ceae9acfff762022-12-21T19:24:18ZengBMCBMC Health Services Research1472-69632021-06-0121111210.1186/s12913-021-06575-1Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residentsLuke Testa0Tayhla Ryder1Jeffrey Braithwaite2Rebecca J. Mitchell3Australian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversityAustralian Institute of Health Innovation, Macquarie UniversityAbstract Background An existing hospital avoidance program, the Aged Care Rapid Response Team (ARRT), rapidly delivers geriatric outreach services to acutely unwell or older people with declining health at risk of hospitalisation. The aim of the current study was to explore health professionals’ perspectives on the factors impacting ARRT utilisation in the care of acutely unwell residential aged care facility residents. Methods Semi-structured interviews were conducted with two Geriatricians, two ARRT Clinical Nurse Consultants, an ED-based Clinical Nurse Specialist, and an Extended Care Paramedic. Interview questions elicited views on key factors regarding care decisions and care transitions for acutely unwell residential aged care facility residents. Thematic analysis was undertaken to identify themes and sub-themes from interviews. Results Analysis of interviews identified five overarching themes affecting ARRT utilisation in the care of acutely unwell residents: (1) resident care needs; (2) family factors; (3) enabling factors; (4) barriers; and (5) adaptability and responsiveness to the COVID-19 pandemic. Conclusion Various factors impact on hospital avoidance program utilisation in the care of acutely unwell older aged care facility residents. This information provides additional context to existing quantitative evaluations of hospital avoidance programs, as well as informing the design of future hospital avoidance programs.https://doi.org/10.1186/s12913-021-06575-1AgedAged, 80 and overCOVID-19Health Services for the AgedNursing homesPatient care team |
| spellingShingle | Luke Testa Tayhla Ryder Jeffrey Braithwaite Rebecca J. Mitchell Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents BMC Health Services Research Aged Aged, 80 and over COVID-19 Health Services for the Aged Nursing homes Patient care team |
| title | Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents |
| title_full | Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents |
| title_fullStr | Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents |
| title_full_unstemmed | Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents |
| title_short | Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents |
| title_sort | factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents |
| topic | Aged Aged, 80 and over COVID-19 Health Services for the Aged Nursing homes Patient care team |
| url | https://doi.org/10.1186/s12913-021-06575-1 |
| work_keys_str_mv | AT luketesta factorsimpactinghospitalavoidanceprogramutilisationinthecareofacutelyunwellresidentialagedcarefacilityresidents AT tayhlaryder factorsimpactinghospitalavoidanceprogramutilisationinthecareofacutelyunwellresidentialagedcarefacilityresidents AT jeffreybraithwaite factorsimpactinghospitalavoidanceprogramutilisationinthecareofacutelyunwellresidentialagedcarefacilityresidents AT rebeccajmitchell factorsimpactinghospitalavoidanceprogramutilisationinthecareofacutelyunwellresidentialagedcarefacilityresidents |