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Characteristics and Hospital Activity of Elderly Patients Receiving Admission Avoidance Home Visits: A Population-Level Record Linkage Study

机译：老年患者接受入学家庭访问的特点和医院活动：人口级记录联系研究

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As pressures on healthcare systems increase, due to an ageing population, hospital admission avoidance interventions have been emphasised. These interventions can be difficult to objectively evaluate due to non-randomised roll-out, requiring observational methods with carefully selected control groups. This study aims to identify the defining characteristics of elderly patients receiving admission avoidance home visits. We conducted a record linkage study using routinely collected data to compare characteristics and outcomes of the general elderly population and a subset of high-risk patients. Intervention patients were found to have significantly different demographics and admission rates compared to the general population, having four times higher admission rates at baseline. However, they share similarities with high-risk patients, particularly in that after a period of increased admissions, both groups experienced a reduction in the following year. Identifying defining characteristics of the target intervention population can guide the careful selection of a control group for evaluation.
机译：由于医疗保健系统的压力增加，由于人口老龄化，因此已经强调了医院的入学避免干预措施。由于非随机滚出，这些干预措施难以客观地评估，需要具有精心挑选的对照组的观察方法。本研究旨在识别接受贷款家访的老年患者的定义特征。我们使用常规收集的数据进行了一项记录联系研究，以比较一般老年人口的特征和结果和高风险患者的子集。与一般人群相比，介入患者的人口统计数据和入学率具有明显不同的人口统计和入学率，在基线下有四倍的入场率。然而，它们与高风险患者共享相似之处，特别是在一段时间内的录取后，两组在次年期间经历了减少。识别目标干预群的定义特征可以指导仔细选择对照组进行评估。

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