Predicting and preventing avoidable hospital admissions: a review.

Research output: Contribution to journalArticle (Academic Journal)

38 Citations (Scopus)

Abstract

The strongest risk factors for avoidable hospital admission are age and deprivation but ethnicity, distance to hospital, rurality, lifestyle and meteorological factors are also important, as well as access to primary care. There is still considerable uncertainty around which admissions are avoidable. In terms of services to reduce admissions there is evidence of effectiveness for education, self-management, exercise and rehabilitation, and telemedicine in certain patient populations, mainly respiratory and cardiovascular. Specialist heart failure services and end-of-life care also reduce these admissions. However, case management, specialist clinics, care pathways and guidelines, medication reviews, vaccine programmes and hospital at home do not appear to reduce avoidable admissions. There is insufficient evidence on the role of combinations or coordinated system-wide care services, emergency department interventions, continuity of care, home visits or pay-by-performance schemes. This highlights the importance of robust evaluation of services as they are introduced into health and social care systems.
Original languageEnglish
Pages (from-to)340-4
Number of pages5
JournalJournal of the Royal College of Physicians of Edinburgh
Volume43
Issue number4
Publication statusPublished - 1 Jan 2013

Keywords

  • risk factors
  • hospital admission

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