Cargando…

Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care

In the United Kingdom (UK), approximately 80,000 hip fractures each year result in an estimated annual cost of two billion pounds in direct healthcare costs alone. Various models of care exist for collaboration between orthopaedic surgeons and geriatricians in response to the complex medical, rehabi...

Descripción completa

Detalles Bibliográficos
Autor principal: Middleton, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319212/
https://www.ncbi.nlm.nih.gov/pubmed/31011092
http://dx.doi.org/10.3390/geriatrics3030055
_version_ 1783385034331258880
author Middleton, Mark
author_facet Middleton, Mark
author_sort Middleton, Mark
collection PubMed
description In the United Kingdom (UK), approximately 80,000 hip fractures each year result in an estimated annual cost of two billion pounds in direct healthcare costs alone. Various models of care exist for collaboration between orthopaedic surgeons and geriatricians in response to the complex medical, rehabilitation, and social needs of this patient group. Mounting evidence suggests that more integrated models of orthogeriatric care result in superior quality of care indicators and clinical outcomes. Clinical governance through national guidelines, audit through the National Hip Fracture Database (NHFD), and financial incentives through the Best Practice Tariff (providing a £1335 bonus for each patient) have driven hip fracture care in the UK forward. The demanded improvement in quality indicators has increased the popularity of collaborative care models and particularly integrated orthogeriatric services. A significant fall in 30-day mortality has resulted nationally. Ongoing data collection by the NHFD will lead to greater understanding of the impact of all elements of hip fracture care including models of orthogeriatrics.
format Online
Article
Text
id pubmed-6319212
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-63192122019-03-07 Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care Middleton, Mark Geriatrics (Basel) Review In the United Kingdom (UK), approximately 80,000 hip fractures each year result in an estimated annual cost of two billion pounds in direct healthcare costs alone. Various models of care exist for collaboration between orthopaedic surgeons and geriatricians in response to the complex medical, rehabilitation, and social needs of this patient group. Mounting evidence suggests that more integrated models of orthogeriatric care result in superior quality of care indicators and clinical outcomes. Clinical governance through national guidelines, audit through the National Hip Fracture Database (NHFD), and financial incentives through the Best Practice Tariff (providing a £1335 bonus for each patient) have driven hip fracture care in the UK forward. The demanded improvement in quality indicators has increased the popularity of collaborative care models and particularly integrated orthogeriatric services. A significant fall in 30-day mortality has resulted nationally. Ongoing data collection by the NHFD will lead to greater understanding of the impact of all elements of hip fracture care including models of orthogeriatrics. MDPI 2018-08-28 /pmc/articles/PMC6319212/ /pubmed/31011092 http://dx.doi.org/10.3390/geriatrics3030055 Text en © 2018 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Middleton, Mark
Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care
title Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care
title_full Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care
title_fullStr Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care
title_full_unstemmed Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care
title_short Orthogeriatrics and Hip Fracture Care in the UK: Factors Driving Change to More Integrated Models of Care
title_sort orthogeriatrics and hip fracture care in the uk: factors driving change to more integrated models of care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319212/
https://www.ncbi.nlm.nih.gov/pubmed/31011092
http://dx.doi.org/10.3390/geriatrics3030055
work_keys_str_mv AT middletonmark orthogeriatricsandhipfracturecareintheukfactorsdrivingchangetomoreintegratedmodelsofcare