What is the extent of potentially avoidable admissions amongst hospital inpatients with palliative care needs?

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dc.contributor.author Gott, Caryl en
dc.contributor.author Gardiner, Clare en
dc.contributor.author Ingleton, C en
dc.contributor.author Cobb, M en
dc.contributor.author Noble, B en
dc.contributor.author Bennett, MI en
dc.contributor.author Seymour, J en
dc.date.accessioned 2013-10-25T00:01:23Z en
dc.date.issued 2013 en
dc.identifier.citation BMC Palliative Care 12:8 pages Article number 9 2013 en
dc.identifier.uri http://hdl.handle.net/2292/20988 en
dc.description.abstract Background: There is clear evidence that the full range of services required to support people dying at home are far from being implemented, either in England or elsewhere. No studies to date have attempted to identify the proportion of hospital admissions that could have been avoided amongst patients with palliative care needs, given existing and current local services. This study aimed to examine the extent of potentially avoidable admissions amongst hospital patients with palliative care needs. Methods. A cross sectional survey of palliative care needs was undertaken in two acute hospitals in England. Appropriateness of admission was assessed by two Palliative Medicine Consultants using the following data collected from case notes: reasons for admission; diagnosis and co-morbidities; age and living arrangements; time and route of admission; medical and nursing plan on admission; specialist palliative care involvement; and evidence of cognitive impairment. Results: A total of 1359 inpatients were present in the two hospitals at the time of the census. Of the 654 consenting patients/consultees, complete case note data were collected for 580 patients; the analysis in this paper relates to these 580 patients. Amongst 208 patients meeting diagnostic and prognostic criteria for palliative care need in two acute settings in England, only 6.7% were identified as potentially avoidable hospitalisations. These patients had a median age of 84. Half of the patients lived in residential or nursing homes and it was concluded that most could have received care in this setting in place of hospital. Conclusion: Our findings challenge assumptions that, within the existing configuration of palliative and end of life health and social care services, patients with palliative care needs experience a high level of potentially avoidable hospitalisations. en
dc.relation.ispartofseries BMC Palliative Care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.biomedcentral.com/about/license http://www.sherpa.ac.uk/romeo/issn/1472-684X/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by/2.0/ en
dc.title What is the extent of potentially avoidable admissions amongst hospital inpatients with palliative care needs? en
dc.type Journal Article en
dc.identifier.doi 10.1186/1472-684X-12-9 en
pubs.volume 12 en
dc.identifier.pmid 23419123 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 375814 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
dc.identifier.eissn 1472-684X en
pubs.number 9 en
pubs.record-created-at-source-date 2013-10-25 en
pubs.dimensions-id 23419123 en

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