Title |
Understanding Hospital Admissions Close to the End of Life (ACE) Study
|
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Published in |
BMC Health Services Research, March 2013
|
DOI | 10.1186/1472-6963-13-89 |
Pubmed ID | |
Authors |
Zoë Slote Morris, Miranda Fyfe, Natalie Momen, Sarah Hoare, Stephen Barclay |
Abstract |
Palliative care is a policy priority internationally. In England, policymakers are seeking to develop high quality care for all by focusing on reducing the number of patients who die in acute hospitals. It is argued that reducing 'inappropriate' hospital admissions will lead to an improvement in the quality of care and provide cost savings.Yet what is meant by an 'inappropriate' admission is unclear and is unlikely to be shared by all stakeholders. The decision process that leads to hospital admission is often challenging, particularly when patients are frail and elderly. The ACE study reopens the idea of 'inappropriate' hospital admissions close to the end of life. We will explore how decisions that result in inpatient admissions close to death are made and valued from the perspective of the decision-maker, and will consider the implications of these findings for current policy and practice. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 33% |
United States | 1 | 11% |
Mexico | 1 | 11% |
Unknown | 4 | 44% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 8 | 89% |
Practitioners (doctors, other healthcare professionals) | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 2 | 1% |
Japan | 1 | <1% |
Spain | 1 | <1% |
Unknown | 188 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 33 | 17% |
Researcher | 30 | 16% |
Student > Ph. D. Student | 22 | 11% |
Student > Bachelor | 15 | 8% |
Student > Postgraduate | 13 | 7% |
Other | 36 | 19% |
Unknown | 43 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 55 | 29% |
Nursing and Health Professions | 38 | 20% |
Social Sciences | 20 | 10% |
Psychology | 11 | 6% |
Economics, Econometrics and Finance | 4 | 2% |
Other | 17 | 9% |
Unknown | 47 | 24% |