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Preferences for the emergency department or alternatives for older people in aged care: a discrete choice experiment.
- Source :
- Age & Ageing; Jan2017, Vol. 46 Issue 1, p124-129, 6p, 3 Charts
- Publication Year :
- 2017
-
Abstract
- Objectives: to estimate the effect of factors that influence decisions to transfer residents of aged care facilities to an emergency department (ED) for acute medical emergencies. Design and participants: a discrete choice experiment with residents (N = 149), the relatives of residents (N = 137) and staff members (N = 128) of aged care facilities. Setting: aged care facilities in three Australian states. Outcome measures: using random parameter logit models, parameter estimates and odds ratios were estimated, and resultant utility functions for ED and alternate care were constructed. Results: all attributes (including waiting time, complication rates, symptom relief and time spent alone) significantly influence choice for accessing acute care. There is a strong overall preference for ED care (odds ratio 1.73, 95% confidence interval 1.57-1.92), but this varies by clinical scenario, being the strongest for pneumonia and weakest for wrist fracture. Relatives of residents were less tolerant of reductions in care quality than staff members or residents themselves. Conclusion: underlying preference for ED transfer of aged care facility residents in acute medical emergencies is strong and independent of commonly used quality of care measures. [ABSTRACT FROM AUTHOR]
- Subjects :
- NURSING care facilities
CONFIDENCE intervals
CRITICAL care medicine
DECISION making
FAMILIES
HOSPITAL admission & discharge
HOSPITAL emergency services
MEDICAL cooperation
NURSING home patients
NURSING home employees
PROBABILITY theory
QUESTIONNAIRES
RESEARCH
RESEARCH funding
LOGISTIC regression analysis
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 46
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 121170442
- Full Text :
- https://doi.org/10.1093/ageing/afw163