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Saturday allied health services for geriatric evaluation and management: A controlled before-and-after trial

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Abstract
Objective:To assess the effect of Saturday allied health services on a geriatric evaluation and management ward.Methods:A controlled before‐and‐after trial at two wards. Allied health services were added to usual weekday staffing on Saturdays for 6 months on the experimental ward. Length of stay, functional independence, readmissions, discharge destination and costs were evaluated at pre‐intervention (N = 331) and intervention (N = 462).Results:Relative to the comparison ward, the experimental ward had longer length of stay (mean 7.8 days, 95% CI 4.7‐10.8), fewer readmissions (mean 3.1 days, 95% CI 0.6‐5.7) and no difference in the proportion discharged home. Cost‐effectiveness demonstrated no significant difference in cost ($2639, 95% CI $‐386 to $5647) and functional independence gain (3.6 units, 95% CI 0.8‐6.5) favouring the experimental ward.Conclusion:These findings do not support the provision of additional Saturday allied health services in geriatric evaluation and management to reduce length of stay.
Item Type: | Article |
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Authors/Creators: | Taylor, NF and Lawler, K and Brusco, NK and Peiris, CL and Harding, KE and Scroggie, GD and Boyd, JN and Wilton, AM and Coker, F and Ferraro, JG and Shields, N |
Keywords: | allied health occupations, cost-effectiveness, health services, rehabilitation, workforce |
Journal or Publication Title: | Australasian Journal on Ageing |
Publisher: | Wiley-Blackwell Publishing Asia |
ISSN: | 1440-6381 |
DOI / ID Number: | 10.1111/ajag.12669 |
Copyright Information: | Copyright 2019 AJA Inc. |
Item Statistics: | View statistics for this item |
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