Room for one more? A review of the literature on ‘inappropriate’ admissions to hospital for older people in the English NHS
Bibliographic Data
| ID | 14947847 |
|---|---|
| Authors | Rachel Thwaites (0000-0003-3352-2027, Health Services Management Centre; University of Birmingham; Birmingham UK, corresponding author), Jon Glasby (0000-0003-3960-7988, School of Social Policy; University of Birmingham; Birmingham UK), Nick Le Mesurier (0000-0002-0021-4194, Health Services Management Centre; University of Birmingham; Birmingham UK), Rosemary Littlechild (School of Social Policy; University of Birmingham; Birmingham UK) |
| Year | 2017 |
| Volume | 25 |
| Issue | 1 |
| Pages | 1-10 |
| Publication date | 2017-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.12281 |
| PMID | 26439460 |
| OpenAlex | W2113972719 |
| Language | EN |
| Citations received | 8 |
| References cited | 13 |
This paper reports the findings of a review of the literature on emergency admissions to hospital for older people in the UK, undertaken between May and June 2014 at the Health Services Management Centre, University of Birmingham. This review sought to explore: the rate of in/appropriate emergency admissions of older people in the UK; the way this is defined in the literature; solutions proposed to reduce the rate of inappropriate admissions; and the methodological issues which particular definitions of 'inappropriateness' raise. The extent to which a patient perspective is included in these definitions of inappropriateness was also noted, given patient involvement is such a key policy priority in other areas of health policy. Despite long-standing policy debates, relatively little research has been published on formal rates of 'inappropriate' emergency hospital admissions for older people in the UK NHS in recent years. What has been produced indicates varying rates of in/appropriateness, inconsistent ways of defining appropriateness and a lack of focus on the possible solutions to address the problem. Significantly, patient perspectives are lacking, and we would suggest that this is a key factor in fully understanding how to prevent avoidable admissions. With an ageing population, significant financial challenges and a potentially fragmented health and social care system, the issue of the appropriateness of emergency admission is a pressing one which requires further research, greater focus on the experiences of older people and their families, and more nuanced contextual and evidence-based responses
Environmental health · Health care · Medical emergency · Older people · Political science · Population · Population ageing · Emergency and Acute Care Studies · Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Medicine · Nursing · Gerontology
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| Unique citing works | 8 |
|---|---|
| Citations per year | 0,89 |
| Citation span | 2017 - 2026 (10) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 6 |