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Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study

AIM: Home healthcare (HHC) provides continuous care for disabled patients. However, HHC referral after the emergency department (ED) discharge remains unclear. Thus, this study aimed its clarification. METHODS: A computer-assisted HHC referral by interdisciplinary collaboration among emergency physi...

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Autores principales: Hsu, Shu-Lien, Tsai, Kang-Ting, Tan, Tian-Hoe, Ho, Chung-Han, Yang, Pei-Chi, Hsu, Chien-Chin, Lin, Hung-Jung, Hung, Shang-Ping, Huang, Chien-Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9020150/
https://www.ncbi.nlm.nih.gov/pubmed/35441929
http://dx.doi.org/10.1007/s40520-022-02109-9
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author Hsu, Shu-Lien
Tsai, Kang-Ting
Tan, Tian-Hoe
Ho, Chung-Han
Yang, Pei-Chi
Hsu, Chien-Chin
Lin, Hung-Jung
Hung, Shang-Ping
Huang, Chien-Cheng
author_facet Hsu, Shu-Lien
Tsai, Kang-Ting
Tan, Tian-Hoe
Ho, Chung-Han
Yang, Pei-Chi
Hsu, Chien-Chin
Lin, Hung-Jung
Hung, Shang-Ping
Huang, Chien-Cheng
author_sort Hsu, Shu-Lien
collection PubMed
description AIM: Home healthcare (HHC) provides continuous care for disabled patients. However, HHC referral after the emergency department (ED) discharge remains unclear. Thus, this study aimed its clarification. METHODS: A computer-assisted HHC referral by interdisciplinary collaboration among emergency physicians, case managers, nurse practitioners, geriatricians, and HHC nurses was built in a tertiary medical center in Taiwan. Patients who had HHC referrals after ED discharge between February 1, 2020 and September 31, 2020, were recruited into the study. A non-ED HHC cohort who had HHC referrals after hospitalization from the ED was also identified. Comparison for clinical characteristics and uses of medical resources was performed between ED HHC and non-ED HHC cohorts. RESULTS: The model was successfully implemented. In total, 34 patients with ED HHC and 40 patients with non-ED HHC were recruited into the study. The female proportion was 61.8% and 67.5%, and the mean age was 81.5 and 83.7 years in ED HHC and non-ED HHC cohorts, respectively. No significant difference was found in sex, age, underlying comorbidities, and ED diagnoses between the two cohorts. The ED HHC cohort had a lower median total medical expenditure within 3 months (34,030.0 vs. 56,624.0 New Taiwan Dollars, p = 0.021) compared with the non-ED HHC cohort. Compared to the non-ED HHC cohort, the ED HHC cohort had a lower ≤ 1 month ED visit, ≤ 6 months ED visit, and ≤ 3 months hospitalization; however, differences were not significant. CONCLUSION: An innovative ED HHC model was successfully implemented. Further studies with more patients are warranted to investigate the impact. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-022-02109-9.
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spelling pubmed-90201502022-04-20 Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study Hsu, Shu-Lien Tsai, Kang-Ting Tan, Tian-Hoe Ho, Chung-Han Yang, Pei-Chi Hsu, Chien-Chin Lin, Hung-Jung Hung, Shang-Ping Huang, Chien-Cheng Aging Clin Exp Res Original Article AIM: Home healthcare (HHC) provides continuous care for disabled patients. However, HHC referral after the emergency department (ED) discharge remains unclear. Thus, this study aimed its clarification. METHODS: A computer-assisted HHC referral by interdisciplinary collaboration among emergency physicians, case managers, nurse practitioners, geriatricians, and HHC nurses was built in a tertiary medical center in Taiwan. Patients who had HHC referrals after ED discharge between February 1, 2020 and September 31, 2020, were recruited into the study. A non-ED HHC cohort who had HHC referrals after hospitalization from the ED was also identified. Comparison for clinical characteristics and uses of medical resources was performed between ED HHC and non-ED HHC cohorts. RESULTS: The model was successfully implemented. In total, 34 patients with ED HHC and 40 patients with non-ED HHC were recruited into the study. The female proportion was 61.8% and 67.5%, and the mean age was 81.5 and 83.7 years in ED HHC and non-ED HHC cohorts, respectively. No significant difference was found in sex, age, underlying comorbidities, and ED diagnoses between the two cohorts. The ED HHC cohort had a lower median total medical expenditure within 3 months (34,030.0 vs. 56,624.0 New Taiwan Dollars, p = 0.021) compared with the non-ED HHC cohort. Compared to the non-ED HHC cohort, the ED HHC cohort had a lower ≤ 1 month ED visit, ≤ 6 months ED visit, and ≤ 3 months hospitalization; however, differences were not significant. CONCLUSION: An innovative ED HHC model was successfully implemented. Further studies with more patients are warranted to investigate the impact. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-022-02109-9. Springer International Publishing 2022-04-20 2022 /pmc/articles/PMC9020150/ /pubmed/35441929 http://dx.doi.org/10.1007/s40520-022-02109-9 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Hsu, Shu-Lien
Tsai, Kang-Ting
Tan, Tian-Hoe
Ho, Chung-Han
Yang, Pei-Chi
Hsu, Chien-Chin
Lin, Hung-Jung
Hung, Shang-Ping
Huang, Chien-Cheng
Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
title Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
title_full Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
title_fullStr Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
title_full_unstemmed Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
title_short Interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
title_sort interdisciplinary collaboration and computer-assisted home healthcare referral in the emergency department: a retrospective cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9020150/
https://www.ncbi.nlm.nih.gov/pubmed/35441929
http://dx.doi.org/10.1007/s40520-022-02109-9
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