HOME >> MEDICINE >> NEWS
Government approach to cutting hospital stays may be misleading

Government plans to use community matrons to help keep older people out of hospital may be based on misleading data, warn researchers in this week's BMJ.

The new plans aim to cut hospital stays by tracking admission rates among older patients and then using specially trained nurses to care for them at home. But Martin Roland and colleagues show that this approach could be seriously misleading because admissions would probably decline anyway, without intervention.

To test their theory, they tracked emergency admissions in people aged 65 or more who had had at least two emergency visits to hospital in one year. This is the main criterion for admission to the Evercare programme* (which the authors are also evaluating) and one of the criteria being used to identify patients for enrolment in the NHS community matron scheme.

This 'high risk' group was monitored from 1997-8 to 2002-3 and compared with the general population of the same age.

They found a sharp decrease in total admissions and bed days over the five year period. The 65 to 74 age group had an admission rate 20 times greater than the general population of the same age in 1997-8, but this ratio fell to 5.2 in 1998-9 and by 2002-3 it was 1.7.

The entire group, comprising 2.9% of the total population of England aged over 65 in mid 1997, accounted for 38% of emergency admissions in 1997-8 but only 3.2% in 2002-3.

The authors say that further research to refine the definition of 'high risk' groups for interventions to reduce admissions is needed, and they warn that the effectiveness of admission avoidance schemes cannot be judged by tracking admission rates without careful comparison with a control group.

"When evaluating case management by community matrons, methods and outcome measures will need to be chosen with care to ensure that the true effect of this initiative on emergency admissions is measured," adds Professor Jill Morrison in an accompanying
'"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-207-383-6529
BMJ-British Medical Journal
3-Feb-2005


Page: 1 2

Related medicine news :

1. Government wasting your taxpayer money on ineffective drug cure
2. Women In Government report on eliminating cervical cancer
3. Government solutions wont cure kids obesity, survey says
4. Government psoriasis research funding down over last decade while NIH budget up 148%
5. Government regulations contribute to medical debt of uninsured and underinsured
6. Governments committing public health malpractice over flour fortification
7. Government asks UNC to develop school program about alcohol and birth defects
8. Government needs to support e-medicine to improve medical care
9. British Adolescents Need Government Support To Help Clean Up Their Act
10. OHSU scientists develop MRI approach to improve breast cancer detection
11. Trial reveals safer and simpler approach to treating children with cystic fibrosis

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/22/2020)... ... March 21, 2020 , ... The modular construction ... Builders Association (MHBA), have been working with state and federal officials on ways ... for greater use of modular construction to address the nation’s affordable housing crisis ...
(Date:3/22/2020)... ... March 22, 2020 , ... In times ... to be a frivolous luxury. The world’s focus is on practical matters - ... sense of stability and control in chaos. However, it’s during these times that ...
(Date:3/20/2020)... WILMINGTON, Del. (PRWEB) , ... March 21, 2020 ... ... from the healthcare and legal communities together for a day of live discussion ... topics including patient advocacy and ethics, telemedicine, whistleblower laws, the role of boards, ...
(Date:3/19/2020)... ... March 19, 2020 , ... As confirmed cases of COVID-19 rapidly increase in ... “As a global humanitarian organization, Project HOPE’s mandate is always to respond where the ... Rabih Torbay, President and CEO of Project HOPE. “We will be supporting America’s health ...
(Date:3/16/2020)... (PRWEB) , ... March 16, 2020 , ... ... partnership today to deliver testing for Coronavirus SARS-CoV-2 (the virus that causes COVID-19 ... exchange program in the world and serves approximately 100 transplant programs throughout the ...
Breaking Medicine News(10 mins):
(Date:3/27/2020)... ... ... Shady Grove Fertility (SGF) —home to more than 85,000 babies born—now offers new ... consults , thereby minimizing interruptions in access to fertility care during this pandemic and ... been to improve access to care. We’re pleased to be able to offer patients ...
(Date:3/22/2020)... ... March 21, 2020 , ... As the spread of Coronavirus ... of Thoracic Medicine and Surgery, and the Temple Lung Center have taken proactive ... tracking platform and triage/care coordination services. Temple is now enrolling patients, faculty, staff, ...
(Date:3/20/2020)... ... 2020 , ... Despite the presence of the lone star tick, which is ... Mexico are low, and it might be due to the invasive fire ant species. ... Annual Meeting of the American Academy of Allergy, Asthma & Immunology (AAAAI) before it ...
Breaking Medicine Technology:
Cached News: