News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


A Better Start for Older People Reduces Hospital Stays

25 March 2014

A Better Start for Older People Reduces Hospital Stays

Research released this month shows that Waikato District Health Board's Supported Transfer and Accelerated Rehabilitation Team (START) programme reduces the length of stay in hospital and the risk of readmission following discharge.

The research also showed the increased time the patients then spent recuperating at home under START care, reduced costs for the DHB over six months.

In the research 198 older people entered the trial and were randomised to either usual care or START.

All older people were followed up over six months.

In the hospital admission immediately prior to entering the trial, the older people in the usual care group spent on average 21.6 days in hospital versus 17.1 days in START.

START therefore achieved its objective of decreasing hospital length of stay.

In the six months following discharge from hospital, participants in the Usual Care group spent 20.6 days in hospital against 14.2 days in START; indicating that the START service had a highly effective role in reducing readmissions.

Total costs were also reduced; per participant costs in the Usual Care group were a mean NZ$16,943 versus NZ$10,836 in the START group (which included NZ$1,618 of START costs) in the six months following the initial hospital discharge.

The Health Research Council of New Zealand (HRC) through the Research Partnerships for New Zealand Delivery (RPNZHD) initiative funded Waikato DHB and the University of Auckland to conduct research on START to see whether it was achieving its intended objectives. The research results now come to the recently launched The Institute of Healthy Ageing.

The Institute of Healthy Ageing chair Barbara Garbutt said when Waikato DHB introduced START on a trial basis in Hamilton in October 2011 “we wanted to be sure results were evidence based.”

The programme rolled out in Thames/Hauraki and South Waikato from 1 February 2012 and is now in place throughout Waikato DHB.

START works with patients and their families in the patient’s own home to set rehabilitation goals and help patients to reach those goals.

Professor Matthew Parsons, Waikato DHB’s chair in gerontology nursing, a joint appointment between Auckland University and Waikato DHB, led the research.

“Having such dramatic research outcomes which proved START does what it sets out to do, was both reassuring and important for New Zealand as we strive to improve services for New Zealand’s older people,” said Prof Parsons.

“What makes these results so important is that we know from other research that the less time older people spend in hospital the better the rehabilitation outcomes are for them if they are well supported by something like the START programme in their own homes and community,” he said.

Older people receive rehabilitation at home for up to six weeks by a team of highly skilled health care assistants overseen by registered nurses with input from occupational therapists, physiotherapists and geriatricians. Clients receive an individualised package of support and rehabilitation, which involves up to four visits a day, seven days a week.
START aims to enable early seamless discharge from hospital and to prevent readmission. A GP can also refer directly to the service to prevent an admission.

ACC is currently working with The Institute of Healthy Ageing, Waikato DHB and the University of Auckland to explore how START can improve the experiences of older people following accidents and a similar trial started earlier this year.

http://www.waikatodhb.health.nz/assets/about-us/agendas/DSAC/2014/march/5.pdf

About Waikato District Health Board and Health Waikato:

Waikato DHB is responsible for planning, funding and providing quality health and disability support services for the 373,220 people living in the Waikato DHB region. It has an annual turnover of $1.2 billion and employs more than 6450 people.

Health Waikato is the DHB’s main provider of hospital and health services. It has six groups across five hospital sites, three primary birthing units, two continuing care facilities and 20 community bases offering a comprehensive range of primary, secondary and tertiary health services.

A wide range of independent providers deliver other Waikato DHB-funded health services - including primary health, pharmacies and community laboratories.

www.waikatodhb.health.nz

ENDS

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

A Series Of Tubes: 150 Years Of The Cook Strait Cable

“It was a momentous achievement for its time. The successful connection came on the third attempt at laying the cable, and followed a near disaster when the first cable snapped - almost destroying the ship Weymouth in the process,” says Ms Adams. More>>

ALSO:

February 2017: Guns N' Roses - New Zealand Dates Announced

Founder Axl Rose and former members, Slash and Duff McKagan have regrouped for one of the century’s most anticipated tours... Rolling Stone said: "This was the real thing, the thing we'd all been waiting for: the triumphant return of one of the most important bands to cross rock music history. And it happened in our lifetime.” More>>

Werewolf: Brando, Peckinpah And Billy The Kid

Gordon Campbell: Initially, One-Eyed Jacks was supposed to have been directed by Stanley Kubrick from a script by Sam Peckinpah – yet it quickly became Brando’s baby... More>>

Book Awards: ANZAC Heroes Wins Margaret Mahy Book Of The Year

“Simply stunning, with gold-standard production values,” say the judges of the winner of this year’s Margaret Mahy Book of the Year Award in the prestigious New Zealand Book Awards for Children and Young Adults. ANZAC Heroes is also the winner of the Elsie Locke Award for the Best Book in the Non-Fiction category. More>>

Baby Animals: Hamilton Zoo Rhino Calf Named

Hamilton Zoo’s latest rhino calf has been named Samburu and he's being celebrated with a unique zoo experience... Samburu arrived after his mother Kito’s 16-month pregnancy and the calf brings the number of white rhinos at Hamilton Zoo to six. More>>

Gordon Campbell: On The Rio Olympics

Were you pretty excited earlier this week when Vietnam won its first ever Olympic gold medal? Hanoi, reportedly, went wild... Perhaps we should keep Vietnam’s golden moment in mind as we gear up for saturation media coverage of New Zealand’s medal achievements in Rio. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news