Perceptions of Administrators of Fee-based Homes for the Elderly Regarding the Effect and Feasibility of Interventions to Prevent Potentially Avoidable Emergency Transfers and Hospitalizations

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  • Ogawara Hirofumi
    Graduate School of Health Management, Keio University
  • Fukahori Hiroki
    Faculty of Nursing and Medical Care, Keio University
  • Endo Takuro
    Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine

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Other Title
  • 回避可能な救急搬送・入院を予防する介入の有効性と実行可能性に関する有料老人ホーム施設長の認識
  • カイヒ カノウ ナ キュウキュウ ハンソウ ・ ニュウイン オ ヨボウ スル カイニュウ ノ ユウコウセイ ト ジッコウ カノウセイ ニ カンスル ユウリョウ ロウジンホーム シセツチョウ ノ ニンシキ

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Abstract

<p>  Potentially avoidable hospitalizations in acute care hospitals should be prevented to improve the quality of life of residents and to use medical resources in fee-based homes for the elderly efficiently. The purpose of this study is to clarify the perceptions of facility managers of fee-based homes for the elderly regarding the effect and feasibility of initiating interventions to prevent potentially avoidable emergency transfers and hospitalizations. A self-administered questionnaire was mailed to administrators at 150 facilities in a city of the metropolitan area; responses were received from 55 facilities (36.7%). The effectiveness of the interventions developed by the authors based on the literature review was generally highly recognized by the administrators (67.3〜87.3%). All interventions were perceived to be more effective than feasible. The interventions that were recognized as particularly effective were “communication tools for information cooperation between nurses and doctors” (87.3%), which were also recognized as more effective in facilities with a high average level of nursing care (p = 0.039). On the other hand, the intervention that was recognized as being less feasible was “employment of nurses with knowledge and skills in elderly care (20.0%).” These findings suggest that it is necessary to increase the feasibility of introducing interventions and conducting intervention studies in fee-based homes for the elderly in Japan to prevent potentially avoidable emergency transfers and hospitalizations.</p>

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