Taylor, NF and Lawler, K and Brusco, NK and Peiris, CL and Harding, KE and Scroggie, GD and Boyd, JN and Wilton, AM and Coker, F and Ferraro, JG and Shields, N, Saturday allied health services for geriatric evaluation and management: A controlled before-and-after trial, Australasian Journal on Ageing, 39, (1) pp. 64-72. ISSN 1440-6381 (2019) [Refereed Article]
Copyright 2019 AJA Inc.
Objective: To assess the effect of Saturday allied health services on a geriatric evaluation and management ward.
Methods: A controlled before‐and‐after trial at two wards. Allied health services were added to usual weekday staffing on Saturdays for 6 months on the experimental ward. Length of stay, functional independence, readmissions, discharge destination and costs were evaluated at pre‐intervention (N = 331) and intervention (N = 462).
Results: Relative to the comparison ward, the experimental ward had longer length of stay (mean 7.8 days, 95% CI 4.7‐10.8), fewer readmissions (mean 3.1 days, 95% CI 0.6‐5.7) and no difference in the proportion discharged home. Cost‐effectiveness demonstrated no significant difference in cost ($2639, 95% CI $‐386 to $5647) and functional independence gain (3.6 units, 95% CI 0.8‐6.5) favouring the experimental ward.
Conclusion: These findings do not support the provision of additional Saturday allied health services in geriatric evaluation and management to reduce length of stay.
|Item Type:||Refereed Article|
|Keywords:||allied health occupations, cost-effectiveness, health services, rehabilitation, workforce|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Aged health care|
|Objective Group:||Provision of health and support services|
|Objective Field:||Allied health therapies (excl. mental health services)|
|UTAS Author:||Lawler, K (Dr Katherine Lawler)|
|Deposited By:||Wicking Dementia Research and Education Centre|
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