In-reach specialist nursing teams for residential care homes: uptake of services, impact on care provision and cost-effectiveness
2008

Impact of In-Reach Nursing Teams in Residential Care Homes

Sample size: 131 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ala Szczepura, Sara Nelson, Deidre Wild

Primary Institution: Warwick Medical School, University of Warwick

Hypothesis

Can in-reach specialist nursing teams improve care and reduce costs in residential care homes?

Conclusion

The introduction of a specialist nursing in-reach team for residential homes is likely to be cost neutral and, in all probability, cost saving.

Supporting Evidence

  • 733 referrals were made over two years, resulting in 6,528 visits.
  • 197 hospital admissions were averted during the study period.
  • Investment in the in-reach team equaled £44.38 per resident per week.

Takeaway

A special nursing team helped elderly residents in care homes stay healthier and avoid hospital visits, saving money in the process.

Methodology

Data was collected prospectively over two years, including referrals, outcomes, and economic analysis.

Limitations

Estimation of benefits like avoided admissions relied on retrospective judgement, which may not be robust.

Participant Demographics

{"total_residents":131,"male_residents":37,"female_residents":94,"mean_age":87,"age_range":"71-104"}

Digital Object Identifier (DOI)

10.1186/1472-6963-8-269

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