ArticleBMC health services research2016
Hospital in the Nursing Home program reduces emergency department presentations and hospital admissions from residential aged care facilities in Queensland, Australia: a quasi-experimental study.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Models for delivery and co-ordination of primary or secondary health care (or both) to older adults living in aged care facilities.The Cochrane database of systematic reviews · 2024Pooled it
- Appropriateness of transferring nursing home residents to emergency departments: a systematic review.BMC geriatrics · 2019Pooled it
- The impact of a multi-component hospital avoidance programme in residential aged care homes: a stepped-wedge cluster randomised trial.Age and ageing · 2025Trial
- The Geriatric Emergency Department Intervention model of care: a pragmatic trial.BMC geriatrics · 2018Trial
- A Review of In-Hospital Mortality Among Patients Transferred From Residential Aged Care Facilities, 2015-2022.Australasian journal on ageing · 2026Article
- Palliative care needs among residential aged care facility residents referred to an Australian hospital-in-the-home service: a descriptive retrospective cohort study.BMC geriatrics · 2026Article
- Low Back Pain Presentation and Management at the Emergency Department: Differences Between Older Adults Residing in the Community and Aged Care Homes.Journal of evaluation in clinical practice · 2025Observational
- The development and validation of a conceptual definition of avoidable transitions from long-term care to the emergency department: A mixed methods study.Health science reports · 2024Article
- Article
- Associations between care home residents' characteristics and acute hospital admissions - a retrospective, register-based cross-sectional study.BMC geriatrics · 2023Article
- Prevalence and characteristics of frequent presenters to Auburn Hospital emergency department.Emergency medicine Australasia : EMA · 2022Article
- Do young people with neurological conditions in residential aged care use hospitals differently than those in the community? Evidence from Victorian hospital data, 2014-2017.Health & social care in the community · 2022Article
- Exploring the implementation of an outreach specialist program for nursing home residents in Macao: A multisite, qualitative study.Frontiers in public health · 2022Article
- Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents.BMC health services research · 2021Article
- The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis.BMC geriatrics · 2020Article
- Root Cause Analysis to Identify Medication and Non-Medication Strategies to Prevent Infection-Related Hospitalizations from Australian Residential Aged Care Services.International journal of environmental research and public health · 2020Article
- Article
- in-DEPtH framework: evidence-BMJ open · 2019Article
- Residential aged care residents and components of end of life care in an Australian hospital.BMC palliative care · 2018Article
- Cost analysis of improving emergency care for aged care residents under a Hospital in the Nursing Home program in Australia.PloS one · 2018Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere has been considerable publicity regarding population ageing and hospital emergency department (ED) overcrowding. Our study aims to investigate impact of one intervention piloted in Queensland Australia, the Hospital in the Nursing Home (HiNH) program, on reducing ED and hospital attendances from residential aged care facilities (RACFs).
methodsA quasi-experimental study was conducted at an intervention hospital undertaking the program and a control hospital with normal practice. Routine Queensland health information system data were extracted for analysis.
resultsSignificant reductions in the number of ED presentations per 1000 RACF beds (rate ratio (95 % CI): 0.78 (0.67-0.92); p = 0.002), number of hospital admissions per 1000 RACF beds (0.62 (0.50-0.76); p < 0.0001), and number of hospital admissions per 100 ED presentations (0.61 (0.43-0.85); p = 0.004) were noticed in the experimental hospital after the intervention; while there were no significant differences between intervention and control hospitals before the intervention. Pre-test and post-test comparison in the intervention hospital also presented significant decreases in ED presentation rate (0.75 (0.65-0.86); p < 0.0001) and hospital admission rate per RACF bed (0.66 (0.54-0.79); p < 0.0001), and a non-significant reduction in hospital admission rate per ED presentation (0.82 (0.61-1.11); p = 0.196).
conclusionsHospital in the Nursing Home program could be effective in reducing ED presentations and hospital admissions from RACF residents. Implementation of the program across a variety of settings is preferred to fully assess the ongoing benefits for patients and any possible cost-savings.
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