Primary care practice characteristics make little impact on unplanned hospital admissions


Given the aging world population, there is global interest in assisting older individuals live longer and much healthier lives. Avoiding unplanned hospital admissions is an essential element of care for older individuals. Palapar et al focused on the method primary care practice characteristics impact results such as unplanned hospitalizations, function and wellness. They examined the irregularity in older individuals’s results by primary care doctor and practice characteristics in New Zealand and the Netherlands. Findings exposed that none of the doctor or practice characteristics were considerably connected with rates of unplanned admissions in the New Zealand sample. In contrast, in the Netherlands sample, scientists discovered greater rates of admissions in big practices and practices staffed with a practice nurse who generally operates in the primary care setting with family doctors. Practice nurses prevail in primary care practices in New Zealand however are fairly brand-new and just in a part of practices in the Netherlands, the authors keep in mind. It is uncertain if these associations are causal or if the boost in hospitalizations represent greater or lower quality care. Considering these findings, the authors conclude that the main focus of global health policies on decreasing hospital overuse needs to approach primary health care structural reform thoroughly.

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Primary Care Variation in Rates of Unplanned Hospitalizations, Functional Ability, and Quality of Life of Older People

Leah Palapar, MD, PhD, et al

Department of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand

https://www.annfammed.org/content/19/4/318

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