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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
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.
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