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ABSTRACT: BACKGROUND: For residents of long term care, hospitalisations can cause distress and disruption, and often result in further medical complications. Multi-disciplinary team interventions have been shown to improve the health of Residential Aged Care (RAC) residents, decreasing the need for acute hospitalisation, yet there are few randomised controlled trials of these complex interventions. This paper describes a randomised controlled trial of a structured multi-disciplinary team and gerontology nurse specialist (GNS) intervention aiming to reduce residents' avoidable hospitalisations. METHODS: This Aged Residential Care Healthcare Utilisation Study (ARCHUS) is a cluster- randomised controlled trial (n = 1700 residents) of a complex multi-disciplinary team intervention in long-term care facilities. Eligible facilities certified for residential care were selected from those identified as at moderate or higher risk of resident potentially avoidable hospitalisations by statistical modelling. The facilities were all located in the Auckland region, New Zealand and were stratified by District Health Board (DHB).InterventionThe intervention provided a structured GNS intervention including a baseline facility needs assessment, quality indicator benchmarking, a staff education programme and care coordination. Alongside this, three multi-disciplinary team (MDT) meetings were held involving a geriatrician, facility GP, pharmacist, GNS and senior nursing staff.OutcomesHospitalisations are recorded from routinely-collected acute admissions during the 9-month intervention period followed by a 5-month follow-up period. ICD diagnosis codes are used in a pre-specified definition of potentially reducible admissions. DISCUSSION: This randomised-controlled trial will evaluate a complex intervention to increase early identification and intervention to improve the health of residents of long term care. The results of this trial are expected in early 2013.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN 12611000187943. 相似文献
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Rome foundation Asian working team report: Real world treatment experience of Asian patients with functional bowel disorders
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Lishou Xiong Xiaorong Gong Kewin Tien‐Ho Siah Nitesh Pratap Uday Chand Ghoshal Murdani Abdullah Ari Fahrial Syam Young‐Tae Bak Myung‐gyu Choi Ching‐Liang Lu Sutep Gonlachanvit Andrew Seng Boon Chua Kuck‐Meng Chong Jane D Ricaforte‐Campos Quan Shi Xiaohua Hou William E Whitehead Kok‐Ann Gwee Minhu Chen 《Journal of gastroenterology and hepatology》2017,32(8):1450-1456
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A. Whitehead 《Anaesthesia》2016,71(2):236-237
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