The extent and cost of potentially avoidable admissions in hospital inpatients with palliative care needs: a cross-sectional study

Show simple item record Robinson, Jacqualine en Boyd, Michal en O'Callaghan, Anne en Laking, George en Frey, Rosemary en Raphael, Deborah en Snow, B en Gott, Caryl en 2015-11-20T03:21:47Z en 2014-09 en
dc.identifier.citation BMJ Supportive and Palliative Care, 2014, 5 (3), pp. 266 - 272 en
dc.identifier.issn 2045-4368 en
dc.identifier.uri en
dc.description.abstract OBJECTIVE: More than 90% of people spend time in hospital in the last year of life and, in many developed countries, hospitals are the setting in which most people will die. Previous research indicates that a proportion of these hospital admissions could have been avoided. The objective of this study was to establish the extent and cost of potentially avoidable hospital admissions among patients with palliative care needs. METHODS: A prospective survey of hospital inpatients was undertaken to identify patients who met clinical criteria indicating palliative care need. Case notes were reviewed by two expert palliative care clinicians to determine if the hospital admission was potentially avoidable. An analysis of the cost of potentially avoidable admissions compared to all other admissions for those patients identified as being in the last year of life was carried out using the statistical analysis software R V.2.15.1. Logistic regression was performed using the logit (log of OR) link. The binary outcome of the logistic regression model was a potentially avoidable admission. RESULTS: Of the 99 patients who met the criteria for palliative care need, 22 were deemed to have experienced a potentially avoidable admission. Those living in a residential aged care facility were more at risk of experiencing such admissions. The mean total cost of hospital care for those with palliative care needs was lower for those whose admission was deemed potentially avoidable. CONCLUSIONS: A significant proportion of patients with palliative care needs experience a potentially avoidable admission. Although these admissions are relatively short compared to those whose admissions are unavoidable, any hospital admission impacts on the experiences of patients and families and may contribute to unnecessary hospital expenditure. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.publisher BMJ Publishing Group en
dc.relation.ispartofseries BMJ Supportive and 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 en
dc.rights.uri en
dc.title The extent and cost of potentially avoidable admissions in hospital inpatients with palliative care needs: a cross-sectional study en
dc.type Journal Article en
dc.identifier.doi 10.1136/bmjspcare-2014-000724 en
pubs.issue 3 en
pubs.begin-page 266 en
pubs.volume 5 en
dc.description.version AM - Accepted Manuscript en
dc.rights.holder Copyright: BMJ Publishing Group en
dc.identifier.pmid 25204542 en
pubs.end-page 272 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 456497 en Medical and Health Sciences en Nursing en School of Medicine en Psychological Medicine Dept en
dc.identifier.eissn 2045-4368 en
pubs.record-created-at-source-date 2015-07-23 en
pubs.dimensions-id 25204542 en

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