Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)

Summary

A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency departments, (iii) community hospitals and (iv) hospital-at-home services.

While detailed information about cost-effectiveness and patient acceptability is lacking at present, the authors consider that the results so far indicate many of the options available are safe and probably would reduce avoidable use of limited resources / acute care capacity.

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Reference

Huntley, AL. Chalder, M. Shaw, ARG. [et al] (2017). A systematic review to identify and assess the effectiveness of alternatives for people over the age of 65 who are at risk of potentially avoidable hospital admission. BMJ Open. August 1^st 2017; 7(7): e016236.

Advanced Paramedics Able to Prescribe Medicines

Possibly of interest:

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Reference

Paramedics set to prescribe medicines. London: BBC Health News, March 31^st 2018.

This relates to:

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Reference

Paramedic prescribing. [Online]: NHS England, March 2018.