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#Post#: 279--------------------------------------------------
How geriatrician support 'reduces admission rate'?
By: Annabeli5 Date: May 28, 2015, 2:43 am
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How geriatrician support 'reduces admission rate'?
#Post#: 286--------------------------------------------------
Re: How geriatrician support 'reduces admission rate'?
By: Janei5 Date: May 28, 2015, 2:59 am
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Providing geriatrician support to GPs working in nursing homes
reduces of emergency hospital admissions and bed days, new
research shows. The study, presented at the British Geriatric
Society spring meeting in Liverpool last month, looked at 1,151
residents in three nursing homes in Middlesex between April 2006
and March 2009. Four interventions - including a monthly medical
advisory meeting between GPs and a consultant geriatrician, were
carried out for three months, after which there was a reduction
of 57 bed days over a three-month period for three nursing
homes, compared to the previous year. If extrapolated to all
nursing homes covered by our Trust, this means a reduction of
338 residents every year, the researchers calculated. The
admission rate per 1,000 admissions was halved, from an expected
rate of 23 per 1,000 admissions to an observed rate of 11 per
1,000.
Dr Radcliffe Lisk, a consultant in elderly medicine at the
Ashford & St. Peter's NHS trust, concluded: 'Geriatricians
working with GPs together with co-ordinated multidisciplinary
teams are well placed to manage these complex frail elderly
residents and develop care plans for these residents.'. Previous
research has shown that providing GP practices with the support
of geriatricians improved management of elderly patients in care
homes and reduced healthcare crises'. A Pulse survey of almost
900 GPs, conducted as part of a special investigation into care
home funding, found 80% of GPs said they lacked sufficient
support or resources to manage elderly patients in care homes
safely.
Case study:
[email]
HTML http://www.kssahsn.net/what-we-do/our-news/events/Care%20Homes%20Collaborative/Care%20homes%20Best%20Practice%20Booklet.pdf[/email]
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