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Interventions to promote early discharge and avoid inappropriate hospital (re)admission:A systematic review

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Show simple item record Coffey, Alice Leahy-Warren, Patricia Savage, Eileen Hegarty, Josephine Cornally, Nicola Day, Mary Rose Sahm, Laura O’Connor, Kieran O'Doherty, Jane Liew, Aaron Sezgin, Duygu O’Caoimh, Rónán 2019-08-21T10:42:13Z 2019-08-21T10:42:13Z 2019
dc.description peer-reviewed en_US
dc.description.abstract Increasing pressure on limited healthcare resources has necessitated the development of measures promoting early discharge and avoiding inappropriate hospital (re)admission. This systematic review examines the evidence for interventions in acute hospitals including (i)hospital-patient discharge to home, community services or other settings, (ii) hospital discharge to another care setting, and (iii) reduction or prevention of inappropriate hospital (re)admissions. Academic electronic databases were searched from 2005 to 2018. In total, ninety-four eligible papers were included. Interventions were categorized into: (1) pre-discharge exclusively delivered in the acute care hospital, (2) pre- and post-discharge delivered by acute care hospital, (3) post-discharge delivered at home and (4) delivered only in a post-acute facility. Mixed results were found regarding the e ectiveness of many types of interventions. Interventions exclusively delivered in the acute hospital pre-discharge and those involving education were most common but their e ectiveness was limited in avoiding (re)admission. Successful pre- and post-discharge interventions focused on multidisciplinary approaches. Post-discharge interventions exclusively delivered at home reduced hospital stay and contributed to patient satisfaction. Existing systematic reviews on tele-health and long-term care interventions suggest insu cient evidence for admission avoidance. The most e ective interventions to avoid inappropriate re-admission to hospital and promote early discharge included integrated systems between hospital and the community care, multidisciplinary service provision,individualization of services, discharge planning initiated in hospital and specialist follow-up en_US
dc.language.iso eng en_US
dc.relation.ispartofseries International Journal of Environmental Research and Public Health;16(14),E2457
dc.subject admission en_US
dc.subject discharge en_US
dc.subject homecare en_US
dc.subject hospital avoidance en_US
dc.subject intermediate care en_US
dc.title Interventions to promote early discharge and avoid inappropriate hospital (re)admission:A systematic review en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.3390/ijerph16142457
dc.contributor.sponsor HSE
dc.rights.accessrights info:eu-repo/semantics/restrictedAccess en_US
dc.internal.rssid 2929992
dc.terms.accessRights Unrestricted online access.

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