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dc.contributor.authorPadayachee, Ansuyah
dc.contributor.authorRanatunga, Cassandra
dc.contributor.authorComans, Tracy A
dc.date.accessioned2019-10-10T03:37:06Z
dc.date.available2019-10-10T03:37:06Z
dc.date.issued2019
dc.identifier.issn1038-5282
dc.identifier.doi10.1111/ajr.12475
dc.identifier.urihttp://hdl.handle.net/10072/388253
dc.description.abstractProblem: The increasing specialisation of medical care in larger centres is contributing to the declining use of rural hospitals that are close to larger centres, risking bed closures or even facility closure. Design: An allied health-led model of care supported by telehealth geriatrician services was developed and implemented in eight beds in a rural hospital to manage older patients needing geriatric evaluation and management. Setting: The project was set in Kilcoy Hospital, a small facility north of Caboolture in Queensland, Australia. The feeder hospital was Caboolture Hospital, the regional centre. Key measures for improvement: Occupancy rates at the rural hospital along with length of stay, discharge destination and functional independence measure. Strategies for change: A project officer was employed 1 day a week to facilitate the implementation of the new model of care. Training and education were provided to medical and nursing staff to understand and implement the geriatric evaluation and management model of care. Effects of change: Over the project time frame, 93 patients were successfully managed in the rural hospital with improved occupancy rates. Outcomes were as effective and safe as compared to the group managed at the regional centre. The model of care is now routine practice. Lessons learnt: Using excess capacity in rural hospitals by employing a geriatric evaluation and management approach is a viable strategy to address declining rural hospital usage.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom344
dc.relation.ispartofpageto350
dc.relation.ispartofissue4
dc.relation.ispartofjournalAustralian Journal of Rural Health
dc.relation.ispartofvolume27
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchStudies in Human Society
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode16
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPublic, Environmental & Occupational Health
dc.subject.keywordsNursing
dc.subject.keywordsallied health
dc.titleUtilising capacity in a rural hospital to support older people requiring hospital care: Kilcoy Connect
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationPadayachee, A; Ranatunga, C; Comans, TA, Utilising capacity in a rural hospital to support older people requiring hospital care: Kilcoy Connect, Australian Journal of Rural Health, 2019, 27 (4), pp. 344-350
dcterms.dateAccepted2018-08-07
dc.date.updated2019-10-10T03:33:27Z
gro.hasfulltextNo Full Text
gro.griffith.authorComans, Tracy
gro.griffith.authorRanatunga, Cassandra


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