Characteristics and hospital activity of elderly patients receiving admission avoidance home visits: a population-level record linkage study

Maria Cristina Martin, Matt-Mouley Bouamrane, Paul Woolman, Kimberley Kavanagh, David Young

Research output: Chapter in Book/Report/Conference proceedingConference contribution book

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Abstract

As pressures on healthcare systems increase, due to an ageing population, hospital admission avoidance interventions have been emphasised. These interventions can be difficult to objectively evaluate due to non-randomised roll-out, requiring observational methods with carefully selected control groups. This study aims to identify the defining characteristics of elderly patients receiving admission avoidance home visits. We conducted a record linkage study using routinely collected data to compare characteristics and outcomes of the general elderly population and a subset of high-risk patients. Intervention patients were found to have significantly different demographics and admission rates compared to the general population, having four times higher admission rates at baseline. However, they share similarities with high-risk patients, particularly in that after a period of increased admissions, both groups experienced a reduction in the following year. Identifying defining characteristics of the target intervention population can guide the careful selection of a control group for evaluation.

Original languageEnglish
Title of host publicationMEDINFO 2019
Subtitle of host publicationHealth and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics
EditorsLucila Ohno-Machado, Brigitte Séroussi
Place of PublicationAmsterdam
PublisherIOS Press
Pages556-560
Number of pages5
ISBN (Print)9781643680026
DOIs
Publication statusPublished - 21 Nov 2019
Event17th World Congress on Medical and Health Informatics, MEDINFO 2019 - Lyon, France
Duration: 25 Aug 201930 Aug 2019

Publication series

NameStudies in Health Technology and Informatics
Volume264
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference17th World Congress on Medical and Health Informatics, MEDINFO 2019
CountryFrance
CityLyon
Period25/08/1930/08/19

Keywords

  • evaluation research
  • home care services
  • informatics

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  • Cite this

    Martin, M. C., Bouamrane, M-M., Woolman, P., Kavanagh, K., & Young, D. (2019). Characteristics and hospital activity of elderly patients receiving admission avoidance home visits: a population-level record linkage study. In L. Ohno-Machado, & B. Séroussi (Eds.), MEDINFO 2019: Health and Wellbeing e-Networks for All - Proceedings of the 17th World Congress on Medical and Health Informatics (pp. 556-560). (Studies in Health Technology and Informatics; Vol. 264). Amsterdam: IOS Press. https://doi.org/10.3233/SHTI190284