Implementation of a novel computer assisted telephone follow-up model for older patients after emergency department discharge in an Asian population.
Background: While the impact of telephone follow-up (TFU) for older emergency department (ED) patients is controversial, its effects on the Asian population remain uncertain. In this study, we evaluated the effectiveness of a novel computer assisted TFU model specifically for this demographic. Metho...
| Publicado en: | Aging Clinical & Experimental Research Vol. 36; no. 1; pp. 1 - 9 |
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| Autores principales: | , , , , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Springer Nature
7/18/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178527960&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178527960 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15940667 2WMP jtl: Aging Clinical & Experimental Research issn: 15940667 maglogo: N pubinfo: dt: 7/18/2024 vid: 36 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178527960 178527960 178527960 10.1007/s40520-024-02796-6 178527960 ppf: 1 ppct: 8 formats: tig: atl: Implementation of a novel computer assisted telephone follow-up model for older patients after emergency department discharge in an Asian population. aug: au: Lee, Yen-Chiang Yu-Chieh Ho, Sam Tan, Tian-Hoe Ho, Chung-Han Tsai, Kang-Ting Yang, Pei-Chi Hsu, Chien-Chin Lin, Hung-Jung Wang, Chia-Ti Huang, Chien-Cheng affil: https://ror.org/02y2htg06 Department of Emergency Medicine, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, 710, Tainan City, Taiwan sug: subj: Emergency Service Taiwan Patient Discharge After Care Telephone Outcomes (Health Care) Human Male Female Middle Age Aged Aged, 80 and Over Funding Source Theory Construction Asians Internet-Based Intervention Tertiary Health Care Taiwan Taiwanese Persons Case Management Comparative Studies Multiple Logistic Regression Odds Ratio Confidence Intervals Summated Rating Scaling Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: While the impact of telephone follow-up (TFU) for older emergency department (ED) patients is controversial, its effects on the Asian population remain uncertain. In this study, we evaluated the effectiveness of a novel computer assisted TFU model specifically for this demographic. Methods: At a Taiwanese tertiary medical center, we developed a TFU protocol that included a referral and case management system within the ED hospital information system. We provided TFU to older discharged patients between April 1, 2021, and May 31, 2021. We compared this cohort with a non-TFU cohort of older ED patients and analyzed demographic characteristics and post-ED discharge outcomes. Results: The TFU model was successfully implemented, with 395 patients receiving TFU and 191 without TFU. TFU patients (median age: 76 years, male proportion: 48.9%) differed from non-TFU patients (median age: 74 years, male proportion: 43.5%). Compared with the non-TFU cohort, the multivariate logistic regression analysis revealed that the TFU cohort had a lower total medical expenditure < 1 month (adjusted odds ratio [AOR]: 0.32; 95% CI: 0.21 − 0.47 for amounts exceeding 5,000 New Taiwan Dollars), and higher satisfaction (AOR: 2.80; 95% CI: 1.46 − 5.36 for scores > 3 on a five-point Likert Scale). However, the TFU cohort also had a higher risk of hospitalization < 1 month (AOR: 2.50; 95% CI: 1.31 − 4.77) compared to the non-TFU cohort. Conclusion: Computer-assisted TFU appears promising. Further research involving a larger number of patients and validation in other hospitals is necessary to bolster the evidence and extend the findings to a broader context. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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