Variations in older people's emergency care use by social care setting: a systematic review of international evidence.
emergency care
hospital admissions
hospital attendance
older people
social care
Journal
British medical bulletin
ISSN: 1471-8391
Titre abrégé: Br Med Bull
Pays: England
ID NLM: 0376542
Informations de publication
Date de publication:
18 Dec 2023
18 Dec 2023
Historique:
received:
14
07
2023
revised:
16
11
2023
accepted:
28
11
2023
medline:
19
12
2023
pubmed:
19
12
2023
entrez:
19
12
2023
Statut:
aheadofprint
Résumé
Older adults' use of social care and their healthcare utilization are closely related. Residents of care homes access emergency care more often than the wider older population; however, less is known about emergency care use across other social care settings. A systematic review was conducted, searching six electronic databases between January 2012 and February 2022. Older people access emergency care from a variety of community settings. Differences in study design contributed to high variation observed between studies. Although data were limited, findings suggest that emergency hospital attendance is lowest from nursing homes and highest from assisted living facilities, whilst emergency admissions varied little by social care setting. There is a paucity of published research on emergency hospital use from social care settings, particularly home care and assisted living facilities. More attention is needed on this area, with standardized definitions to enable comparisons between studies.
Sections du résumé
BACKGROUND
BACKGROUND
Older adults' use of social care and their healthcare utilization are closely related. Residents of care homes access emergency care more often than the wider older population; however, less is known about emergency care use across other social care settings.
SOURCES OF DATA
METHODS
A systematic review was conducted, searching six electronic databases between January 2012 and February 2022.
AREAS OF AGREEMENT
RESULTS
Older people access emergency care from a variety of community settings.
AREAS OF CONTROVERSY
RESULTS
Differences in study design contributed to high variation observed between studies.
GROWING POINTS
CONCLUSIONS
Although data were limited, findings suggest that emergency hospital attendance is lowest from nursing homes and highest from assisted living facilities, whilst emergency admissions varied little by social care setting.
AREAS TIMELY FOR DEVELOPING RESEARCH
CONCLUSIONS
There is a paucity of published research on emergency hospital use from social care settings, particularly home care and assisted living facilities. More attention is needed on this area, with standardized definitions to enable comparisons between studies.
Identifiants
pubmed: 38112600
pii: 7477776
doi: 10.1093/bmb/ldad033
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Institute for Health Research
Organisme : Department of Health and Social Care
Informations de copyright
© The Author(s) 2023. Published by Oxford University Press.