Results for 'health care'
Results 31 - 33 of 33
PATON Fiona, WILSON Paul, WRIGHT Kath
A synthesis of evidence assessing the predictive ability of tools used to identify frail elderly and people living with multiple long-term chronic health conditions who are at risk of future unplanned hospital admissions. There are now a large number of models available that can be used to predict the risk of unplanned hospital admissions and this study aims to provide a summary of their comparative performance. Overall, the models identified in this review show reasonable concordance in terms of their predictive performance (based on c-statistics). Models reporting other performance indications showed that at different thresholds, as sensitivity increased, specificity would decrease. As the algorithms become more complex or incorporate longer term horizons specificity increased but the ability of the models to identify future high cost individuals reduced. It should also be noted that whilst the reported c-statistics are broadly similar, the underlying populations, data sources and coding may differ.
AL-ORAIBI Saleh, FORDHAM Ric, LAMBERT Rod
This study looked at whether new assistive technology (AT) systems in care homes for elderly residents, reduced the number of falls and demands for formal health services. The project collected retrospective data about the incidence of falls before and after AT systems were installed in two care homes in Norfolk, UK. These homes were selected purposefully because a recent assessment identified the need for upgrading their call system. They had different resident profiles regarding the prevalence of dementia. Standard incident report forms were examined for a period starting ten months before the upgrades to ten months after in Care Home 1 and from six months before to six months afterwards in Care Home 2. Overall there were 314 falls reported during the course of the study; the number reduced from 202 to 112 after the introduction of AT. The mean health care costs associated with falls in Care Home 1 were significantly reduced (more than 50%). In Care Home 2 there was no significant difference in the mean cost. The results suggest that installing an AT system in residential care homes can reduce the number of falls and health care cost in homes with a lower proportion of residents with advanced dementia compared to those with more residents with advanced dementia.
This study estimates the economic benefits to commissioners of both health and social care across six British Red Cross schemes, two covering A&E hospital schemes, and four focused on community and individual resilience. Based on analysing these six schemes, BRC is found to be delivering substantial savings to health and social care commissioners, ranging from £168 to £704 per user relating to a rate of return between 40 to 280 per cent. Savings are realised through the prevention of hospital admission or reduced length of stay in hospital; reduced levels of hospital readmission; and preventing or minimising the use of expensive domiciliary and residential care. All the BRC schemes across the UK are estimated to have the potential to save commissioners £8m. This saving implies an overall return of 149 per cent on commissioner expenditure, suggesting that these schemes deliver material benefits and form a crucial element of care in the UK. In addition to savings there are a number of further benefits the schemes deliver, including service user benefits, signposting and assistance with access to additional services, reduction of social isolation and greater independence and wellbeing through the use of volunteers.
Results 31 - 33 of 33