Reducing emergency admissions: Are we on the right track?

BMJ (Online)

Volumn 345, Issue 7876, 2012, Pages

  Roland, Martin ^a   Abel, Gary ^a  

^a UNIVERSITY OF CAMBRIDGE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CASE MANAGEMENT; COST CONTROL; EFFECT SIZE; EMERGENCY CARE; EVIDENCE BASED PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HIGH RISK PATIENT; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; LETTER; MEDICAL AUDIT; PATIENT REFERRAL; PREDICTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REGRESSION ANALYSIS; RISK ASSESSMENT; SELF CARE; TELEMONITORING; UNITED KINGDOM; UNITED STATES;

CLINICAL AUDIT; CLINICAL GOVERNANCE; EMERGENCIES; EMERGENCY SERVICE, HOSPITAL; EMERGENCY TREATMENT; GREAT BRITAIN; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES MISUSE; HOSPITALIZATION; HUMANS; PATIENT ADMISSION; RISK ASSESSMENT; STATE MEDICINE;

EID: 84866893039     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.e6017     Document Type: Letter

References (22)

1. Bottle A, Aylin P, Majeed A. Identifying patients at high risk of emergency hospital admission: a logistic regression analysis. J R Soc Med 2006;99:406-14. http://jrsm.rsmjournals.com/content/99/8/406?related-urls= yes&legid=jrsm;99/8/406. (Pubitemid 44386901)
2. NHS Information Centre. Hospital episode statistics. Headline figures 2010-2011. 2011. www.hesonline.nhs.uk/Ease/ContentServer?siteID= 1937&categoryID=193.
3. Blunt I, Bardsley M, Dixon J. Trends in emergency admissions in England 2004-2009. 2010. www.nuffieldtrust.org.uk/publications/trends-emergency- admissions-england-2004-2009.
4. Department of Health. Payment by results: background. 2010. http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/ Managingyourorganisation/NHSFinancialReforms/DH-077259.
5. Northamptonshire Observatory. Joint strategic needs assessment 2011. Chapter 2. Hospital activity. www.northamptonshireobservatory.org.uk/projects/ projectdetail.asp?projectid=147.
6. Nuffield Trust. Predictive risk and health care: an overview. Nuffield Trust, 2011. www.nuffieldtrust.org.uk/sites/files/nuffield/publication/ Predictive-risk-and-health-care-an-overview-0.pdf
7. Evidence Adoption Centre. The effectiveness of predictive modelling tools in identifying patients at high risk of using secondary care resources. Evidence Adoption Centre, East of England. 2011. www.eac.cpft.nhs.uk/Download/ Public/18631/1/PredictiveModellingToolsReveiw.pdf.
8. Heritage Health Prize. www.heritagehealthprize.com/c/hhp.
9. Wennberg D, Siegel M, Darin B, Filifova N, Russell R, Kenney L, et al. Combined predictive model: final report. 2006. www.kingsfund.org.uk/current- projects/predicting-and-reducing-readmission-to-hospital.
10. Rose G. Sick individuals and sick populations. Int J Epidemiol 1985;14:32-8. http://ije.oxfordjournals.org/content/14/1/32.full.pdf+html. (Pubitemid 15109489)
11. Sargent P, Boaden R, Roland M. How many patients can community matrons successfully case manage? J Nurs Manage 2008;16:38-46.
12. Gravelle H, Dusheiko M, Sheaff R, Sargent P, Boaden R, Pickard S, et al. Impact of case management (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data. BMJ 2007;334:31-4. (Pubitemid 46095446)
13. Roland M, Lewis R, Steventon A, Abel G, Adams J, Bardsley M, et al. Case management for at-risk elderly patients in the English integrated care pilots: observational study of staff and patient experience and secondary care utilisation. Int J Integrated Care 2012;12(5). www.ijic.org/index.php/ijic/ article/view/850/1772.
14. King's Health Partners. Integrated care programme. www. kingshealthpartners.org/info/integrated-care-pilot.
15. Roland M, Dusheiko M, Gravelle H, Parker S. Follow up of people aged 65 and over with a history of emergency admissions: analysis of routine admission data. BMJ 2005;330:289-92. (Pubitemid 40203645)
16. Munro J, Sampson F, Nicholl J. The impact of NHS Direct on the demand for out-of-hours primary and emergency care. Br J Gen Pract 2005;55:790-2. (Pubitemid 41479444)
17. Øvretveit J. Does improving quality save money? Health Foundation, 2009. www.health.org.uk/publications/does-improving-quality-save-money/.
18. Powell Davies G, Harris M, Perkins D, Roland M, Williams A, Larsen K, et al. Coordination of care within primary health care and with other sectors: a systematic review. 2006. http://aphcri.anu.edu.au/research-program/aphcri- network-research-completed/stream-four-translating-evidence-policy/ coordination-care-within.
19. Fan VS, Gaziano JM, Lew R, Bourbeau J, Adams SG, Leatherman S, et al. A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: a randomized, controlled trial. Ann Intern Med 2012;156:673-83.
20. Takahashi PY, Pecina JL, Upatising B, Chaudhry R, Shah ND, Van Houten H, et al. A randomized controlled trial of telemonitoring in older adults with multiple health issues to prevent hospitalizations and emergency department visits. Arch Intern Med 2012;172:773-9.
21. Purdy S, Paranjothy S, Huntley A, Thomas R, Mann M, Huws D, et al. Interventions to reduce unplanned hospital admissions: a series of systematic reviews. 2012. www.bristol.ac.uk/primaryhealthcare/docs/projects/ unplannedadmissions.pdf.
22. Purdy S. Avoiding hospital admissions. What does the research evidence say? 2010. www.kingsfund.org.uk/publications/avoiding-hospital.html.