ArticleBMJ quality & safety2019
Effect on secondary care of providing enhanced support to residential and nursing home residents: a subgroup analysis of a retrospective matched cohort study.
Article in BMJ quality & safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 34 citations in OpenAlex.
- Identifying predictors and measuring variation in hospitalisation for older adult care home residents: a retrospective cohort study using routinely collected data.Age and ageing · 2026Article
- Continuity of Primary Care and Preventable Hospitalization for Acute Conditions: A Machine Learning-Based Record Linkage Study.Annals of family medicine · 2025Article
- Strategies to Improve Emergency Transitions From Long-Term Care Facilities: A Scoping Review.The Gerontologist · 2024Article
- Understanding Pathways into Care-homes using Data (UnPiCD study): a two-part model to estimate inpatient and care-home costs using national linked health and social care data.BMC health services research · 2024Article
- Do mobile hospital teams in residential aged care facilities increase health care efficiency: an evaluation of French residential care policy.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Indirect effect of the COVID-19 pandemic on hospital mortality in patients with hip fracture: a competing risk survival analysis using linked administrative data.BMJ quality & safety · 2023Article
- Mobile emergency department care to nursing home residents: a novel outreach service.Age and ageing · 2023Observational
- A typology of integrated care policies in the care home sector: A policy document analysis.Frontiers in public health · 2023Article
- Healthcare professionals' experience with emergency department-based acute care performed within nursing homes.Age and ageing · 2022Article
- Developing a minimum data set for older adult care homes in the UK: exploring the concept and defining early core principles.The lancet. Healthy longevity · 2022Review
- Article
- The Effect of Providing Staff Training and Enhanced Support to Care Homes on Care Processes, Safety Climate and Avoidable Harms: Evaluation of a Care Home Quality Improvement Programme in England.International journal of environmental research and public health · 2021Article
- Integration of Inpatient and Residential Care In-Reach Service Model and Hospital Resource Utilization: A Retrospective Audit.Journal of the American Medical Directors Association · 2021Article
- Nobody ever questions-Polypharmacy in care homes: A mixed methods evaluation of a multidisciplinary medicines optimisation initiative.PloS one · 2021Article
- Protocol for a realist review of General Practitioners' Role in Advancing Practice in Care Homes (GRAPE study).BMJ open · 2020Article
- Hospital admissions from care homes in England during the COVID-19 pandemic: a retrospective, cross-sectional analysis using linked administrative data.International journal of population data science · 2020Article
- Lessons learnt from the implementation of new care models in the NHS: a qualitative study of the North East Vanguards programme.BMJ open · 2019Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThirteen residential care homes and 10 nursing homes specialising in older people in Rushcliffe, England, participated in an improvement programme. The enhanced support provided included regular visits from named general practitioners and additional training for care home staff. We assessed and compared the effect on hospital use for residents in residential and nursing homes, respectively.
methodsUsing linked care home and administrative hospital data, we examined people aged 65 years or over who moved to a participating care home between 2014 and 2016 (n=568). We selected matched control residents who had similar characteristics to the residents receiving enhanced support and moved to similar care homes not participating in the enhanced support (n=568). Differences in hospital use were assessed for residents of each type of care home using multivariable regression.
resultsResidents of participating residential care homes showed lower rates of potentially avoidable emergency admissions (rate ratio 0.50, 95% CI 0.30 to 0.82), emergency admissions (rate ratio 0.60, 95% CI 0.42 to 0.86) and Accident & Emergency attendances (0.57, 95% CI 0.40 to 0.81) than matched controls. Hospital bed days, outpatient attendances and the proportion of deaths that occurred out of hospital were not statistically different. For nursing home residents, there were no significant differences for any outcome.
conclusionsThe enhanced support was associated with lower emergency hospital use for older people living in residential care homes but not for people living in nursing homes. This might be because there was more potential to reduce emergency care for people in residential care homes. In nursing homes, improvement programmes may need to be more tailored to residents' needs or the context of providing care in that setting.
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