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

 

Review: Singin’ In The Rain

Singin’ in the Rain , the wet and wonderful musical production all the way from London’s West End, officially opened at St. James Theatre in Wellington. More>>

Francis Cook: Gallipoli: The Scale Of Our War – First Look

Te Papa today allowed media access to their new exhibition Gallipoli: The Scale of Our War . The exhibition was curated with help from Weta Workshop to deliver an immersive, realistic and even disorienting experience. More>>

ALSO:

Bats Theatre: Letters From The Front Brings ANZAC Letters Alive

Inspired by centenary commemorations, improv troupe Best on Tap is producing a show based on real-life letters sent to and from New Zealand soldiers in the First World War. More>>

ALSO:

Publishing: Unity Books On Plan To Close Te Papa Press

Unity Books is alarmed that Te Papa is proposing to suspend publishing by Te Papa Press for 4 or 5 years. Te Papa Press has proven time and time again that it has both award and bestseller capability and fulfils its kaupapa. More>>

ALSO:

Cinema: ‘The Desk’ Featuring Paul Henry To Have NZ Debut

The Documentary Edge Festival is thrilled to announce The Desk as a late entry to its 2015 Programme. The film, featuring local broadcaster Paul Henry, will have its international premiere on May 21 at 10pm at Q Theatre (book now at qtheatre.co.nz) with limited screenings also on offer in Wellington and Auckland. More>>

ALSO:

Art: Considering Feminisms In Aotearoa New Zealand: Two Projects

Feminism is something that has changed our lives. Recently, the activist Marilyn Waring reviewed the impact of feminism in Aotearoa New Zealand and reminded us that just 40 years ago banks wouldn’t lend women money without the guarantee of a man, ... More>>

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news