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|Title:||Factors influencing decision-making processes for unwell residents in residential aged care: Hospital transfer or Residential InReach referral?|
|Authors:||Amadoru, Sanka;Rayner, Jo-Anne;Joseph, Rajni;Yates, Paul A|
|Affiliation:||Department of Geriatric Medicine (Aged and Continuing Care), Austin Health, Heidelberg, Victoria, Australia|
Australian Centre for Evidence Based Aged Care, La Trobe University, Melbourne, Victoria, Australia
The University of Melbourne, Melbourne, Victoria, Australia
Geriatric Medicine, Northern Health, Melbourne, Victoria, Australia
|Citation:||Australasian journal on ageing 2018; online first: 24 February|
|Abstract:||To investigate decision-making around hospital transfer and/or referral of residents to a Residential InReach (RiR) service in north-eastern metropolitan Melbourne, Australia, from the perspectives of residential aged care facility (RACF) staff, general practitioners (GPs) and RiR registered nurses (RNs). Thirty-one staff from eight RACFs, five GPs and four RiR RNs participated in individual or group interviews. Residential aged care facility staff and GPs valued and relied upon RiR to manage unwell residents. Thematic analysis identified RiR utilisation was driven by the following: (i) complexity of decision-making processes in RACFs; (ii) variability in facility-based medical and nursing care; and (iii) impact of RiR service outcomes on patients and referrers. Availability of timely and appropriate medical and nursing care in RACFs was reported to influence transfers to the hospital and/or referrals to RiR. RiR was used to complement or substitute usual care available to residents. Further research and improvements in RACF and RiR resources are required.|
health services for the aged
|Appears in Collections:||Journal articles|
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