None listed
Conditions
Brief summary
There is published evidence for avoidable hospital admission of older people. However no effective intervention has been adopted as routine practice. A pilot randomized controlled trial is proposed for initial evaluation of a complex intervention, comprising multidisciplinary input into the care of older people at risk of hospital admission for unmet need. Older people will be identified by a review of admission records and further described using a set of measures assessing for physical, social and psychological needs. The needs of those assigned to receive the intervention will be reviewed and addressed by a general practitioner supported by a multidisciplinary team. The study will generate data on: 1)Identifying and engaging at-risk patients 2)Operating a multidisciplinary team- including primary care practitioners who are not formally employed in general practice 3)The relevant interventions that are funded by Medicare and the logistics of delivering those interventions 4)The uptake of such interventions by patients 5)Developing the role of GP as care coordinator within a multidisciplinary team structure. This project will address the recommendations of a recent Cochrane review on reducing hospital admissions. The intervention will be developed with reference to published Australia data and the UK Medical Research Council framework for the development and evaluation of complex interventions. This pilot study is a forerunner to a multi-centered, fully powered randomized controlled trial.
Interventions
The intervention is a multidisciplinary assessment of the physical, psychological and social needs of patients considered at risk of hospital admission and or Emergency department attendance. An initial audio recorded consultation with a community nurse will be played to the team to assist them in their recommendations. The assessment, which will also be informed by the nurse's observations will be shared with the patient's general practitioner and the general practitioner will determine if furt
The intervention is a multidisciplinary assessment of the physical, psychological and social needs of patients considered at risk of hospital admission and or Emergency department attendance. An initial audio recorded consultation with a community nurse will be played to the team to assist them in their recommendations. The assessment, which will also be informed by the nurse's observations will be shared with the patient's general practitioner and the general practitioner will determine if further medical intervention is warranted. All actions taken in response to the recommendations will be monitored via data linkage to the patient's medical records.
Sponsors
Curtin University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
People aged 75 years and above, living in private accommodation in Western Australia and at risk of unplanned hospital attendance.
Exclusion criteria
People below 75 years of age
Outcome results
None listed