Variations in older people's emergency care use by social care setting: a systematic review of international evidence.

Brotherhood, Kelly; Searle, Ben; Spiers, Gemma Frances; Caiado, Camila; Hanratty, Barbara

Abstract

Older adults' use of social care and their healthcare utilization are closely related. Residents of care homes access emergency care more often than the wider older population; however, less is known about emergency care use across other social care settings. A systematic review was conducted, searching six electronic databases between January 2012 and February 2022. Older people access emergency care from a variety of community settings. Differences in study design contributed to high variation observed between studies. Although data were limited, findings suggest that emergency hospital attendance is lowest from nursing homes and highest from assisted living facilities, whilst emergency admissions varied little by social care setting. There is a paucity of published research on emergency hospital use from social care settings, particularly home care and assisted living facilities. More attention is needed on this area, with standardized definitions to enable comparisons between studies. [Abstract copyright: © The Author(s) 2023. Published by Oxford University Press.]

Citation

Brotherhood, K., Searle, B., Spiers, G. F., Caiado, C., & Hanratty, B. (2024). Variations in older people's emergency care use by social care setting: a systematic review of international evidence. British Medical Bulletin, 149(1), 32-44. https://doi.org/10.1093/bmb/ldad033

• Journal Article Type: Article
• Acceptance Date: Nov 28, 2023
• Online Publication Date: Dec 18, 2023
• Publication Date: 2024-03
• Deposit Date: Feb 14, 2024
• Publicly Available Date: Feb 14, 2024
• Journal: British medical bulletin
• Print ISSN: 0007-1420
• Electronic ISSN: 1471-8391
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 149
• Issue: 1
• Pages: 32-44
• DOI: https://doi.org/10.1093/bmb/ldad033
• Keywords: emergency care, hospital attendance, older people, hospital admissions, social care
• Public URL: https://durham-repository.worktribe.com/output/2085078