Nursing Home Residents' Use of Radiography in New Brunswick: A Case for Mobile Radiography?

Humans Nursing Homes New Brunswick Retrospective Studies Canada Radiography Emergency Service, Hospital

Journal

Healthcare policy = Politiques de sante
ISSN: 1715-6580
Titre abrégé: Healthc Policy
Pays: Canada
ID NLM: 101280107

Informations de publication

Date de publication:
02 2023
Historique:
pmc-release: 01 02 2024
entrez: 14 3 2023
pubmed: 15 3 2023
medline: 17 3 2023
Statut: ppublish

Résumé

Identifying ways to eliminate unnecessary transfer of nursing home (NH) residents to hospitals provides an opportunity to improve outcomes and use scarce healthcare resources more efficiently. This study's goal was to better understand where NH residents access X-ray (XR) and computed tomography (CT) scans and to determine if there was a case for mobile radiography policies in New Brunswick. A retrospective analysis of all the visits to the emergency department (ED) and outpatient imaging departments in two hospitals in Saint John, New Brunswick, in 2020, that involved XR or CT investigations was conducted. There were 521 visits by 311 unique NH residents and 920 investigations (688 XR and 232 CT scans). Most investigations were ordered in the ED (696 of 920; 75.6%; confidence interval: 72.8-78.3%). Of the NH residents who visited the ED and received either an XR or a CT scan, 33.2% received only XR imaging and were discharged back to the NH after a mean ED stay of 5.15 hours. The pattern of NH residents' use of the ED for their imaging needs supports the creation of mobile XR policies to deliver more safe and efficient care in a Canadian medium population urban centre.

Identifiants

DOI: 10.12927/hcpol.2023.27036 PMID: 36917452 PMC: PMC10019512
pubmed: 36917452
pii: hcpol.2023.27036
doi: 10.12927/hcpol.2023.27036
pmc: PMC10019512
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

31-46

Informations de copyright

Copyright © 2022 Longwoods Publishing.

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Auteurs

Eric Plant (E)

Candidate, Dalhousie University Medicine, Saint John, NB, Primary Care Paramedic, Ambulance New Brunswick.

Rose Mccloskey (R)

Professor, Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB.

Isdore Chola Shamputa (IC)

Associate Professor, Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB.

Kavish Chandra (K)

Assistant Professor, Department of Emergency Medicine, Saint John Regional Hospital, Dalhousie University, Director of Research, Department Emergency Medicine, Saint John Regional Hospital, Saint John, NB.

Paul Atkinson (P)

Professor, Department of Emergency Medicine, Saint John Regional Hospital, Dalhousie University, Head, Department of Emergency Medicine, Horizon Health Network, Saint John, NB.

Jacqueline Fraser (J)

Emergency Department Research Coordinator, Saint John Regional Hospital, Saint John, NB, Assistant Managing Editor, Canadian Journal of Emergency Medicine.

Tushar Pishe (T)

Provincial Medical Director, Ambulance and Transport Services, Department of Health, New Brunswick, Assistant Professor, Department of Emergency Medicine, Saint John Regional Hospital, Dalhousie University, Saint John, NB.

Patrick Price (P)

Researcher, Dalhousie University Medicine, Saint John, NB.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Nursing Home Residents' Use of Radiography in...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Établissements de soins de long séjour › Maisons de repos › Nursing Home Residents' Use of Radiography in...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Nouveau-Brunswick › Nursing Home Residents' Use of Radiography in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Nursing Home Residents' Use of Radiography in...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Nursing Home Residents' Use of Radiography in...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Radiographie › Nursing Home Residents' Use of Radiography in...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration d'établissement de santé › Administration hospitalière › Services hospitaliers › Service hospitalier d'urgences › Nursing Home Residents' Use of Radiography in...