ArticleBMC health services research2011
Community based service providers' perspectives on frequent and/or avoidable admission of older people with chronic disease in rural NSW: a qualitative study.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk Factors Associated with Preventable Hospitalisation among Rural Community-Dwelling Patients: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Trial
- Understanding potentially avoidable hospitalisations in a rural Australian setting from the perspectives of patients and health professionals: a qualitative study and logic model.Integrated healthcare journal · 2022Article
- Healthcare Providers' Perceptions of Potentially Preventable Rural Hospitalisations: A Qualitative Study.International journal of environmental research and public health · 2021Article
- Article
- Awareness of Salt Intake among Community-Dwelling Elderly at Coastal Area: The Role of Public Health Access Program.Journal of nutrition and metabolism · 2020Article
- Benefits of the 'village': a qualitative exploration of the patient experience of COPD in rural Australia.BMJ open · 2019Article
- Diagnosing Potentially Preventable Hospitalisations (DaPPHne): protocol for a mixed-methods data-linkage study.BMJ open · 2015Article
- Admissions for chronic ambulatory care sensitive conditions - a useful measure of potentially preventable admission?BMC health services research · 2015Article
- Avoidable hospitalizations in Switzerland: a small area analysis on regional variation, density of physicians, hospital supply and rurality.BMC health services research · 2014Article
- Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: a prevalence study.BMC geriatrics · 2014Article
- Frequent hospital admission of older people with chronic disease: a cross-sectional survey with telephone follow-up and data linkage.BMC health services research · 2012Article
- Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network.BMC health services research · 2012Review
- Community-Based Supports and Services for Older Adults: A Primer for Clinicians.Journal of geriatricsArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrequent and potentially avoidable hospital admission amongst older patients with ambulatory care sensitive (ACS) chronic conditions is a major topic for research internationally, driven by the imperative to understand and therefore reduce hospital admissions. Research to date has mostly focused on analysis of routine data using ACS as a proxy for 'potentially avoidable'. There has been less research on the antecedents of frequent and/or avoidable admission from the perspectives of patients or those offering community based care and support for these patients. This study aimed to explore community based service providers' perspectives on the factors contributing to admission among older patients with chronic disease and a history of frequent and potentially avoidable admission.
methods15 semi-structured interviews with community based providers of health care and other services, and an emergency department physician were conducted. Summary documents were produced and thematic analysis undertaken.
resultsA range of complex barriers which limit or inhibit access to services were reported. We classified these as external and internal barriers. Important external barriers included: complexity of provision of services, patients' limited awareness of different services and their inexperience in accessing services, patients needing a higher level or longer length of service than they currently have access to, or an actual lack of available services, patient poverty, rurality, and transport. Important internal barriers included: fear (of change for example), a 'stoic' attitude to life, and for some, the difficulty of accepting their changed health status.
conclusionsThe factors underlying frequent and/or potentially avoidable admission are numerous and complex. Identifying strategies to improve services or interventions for this group requires understanding patient, carer and service providers' perspectives. Improving accessibility of services is also complex, and includes consideration of patients' social, emotional and psychological ability and willingness to use services as well as those services being available and easily accessed.
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