54 resultados para Home Visit

em University of Queensland eSpace - Australia


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Study objective: UK government policy mandates the introduction of 'intermediate care services' to reduce emergency admissions to hospital from the population aged 75 years or more. We evaluated one of these initiatives-the Keep Well At Home (KWAH) Project-in a West London Primary Care Trust. Design: KWAH involves a two-phase screening process, including a home visit by a community nurse. We employed cohort methods to determine whether KWAH resulted in fewer emergency attendances and admissions to hospital in the target population, from October 1999 to December 2002. Results: estimated levels of coverage in the two phases of screening were 61 and 32%, respectively. The project had not maintained records of which additional health and social care services had been delivered following screening. The rates of emergency admissions to hospital in the 9 months before screening were similar in practices that did and did not join the project (rate ratio (RR) = 1.05; 95% CI 0.95-1.17), suggesting absence of volunteer bias. Over the first 37 months of the project, there was no significant impact on either attendances at Accident & Emergency departments (RR = 1.02; 95% CI 0.97-1.06) or emergency admissions of elderly patients (RR = 0.98; 95% CI 0.93-1.05). Conclusion: the KWAH Project has been ineffective in reducing emergency admissions among the elderly. Significant questions arise in relation to selection of the screening instruments, practicality of achieving higher coverage of the eligible population, and creation of a new postcode lottery.

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Girls with placard during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967. Placard reads Go home fascist

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Girl with placard Go home fascist during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Police cordon on Brisbane street during visit of former South Vietnamese vice president Nguyen Cao Ky to Australia in January 1967.

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Demonstrations during visit of former South Vietnamese vice president Nguyen Cao Ky to Australia in January 1967.

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Woman with placard during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Police and demonstrators during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967. One of the policemen possibly John O'Gorman?

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Crowd scene during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Hec (Hector) Chalmers speaking to newsment during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Group of people during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Group of people including Hughie Hamilton, Alex McDonald and Vilma Ward during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Group of people outside the Sub Inspector Office during visit of former South Vietnamese vice president Nguyen Cao Ky to Brisbane, Australia in January 1967.

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Worker cleaning up leaflets after demonstration during visit to Brisbane of Former South Vietnamese vice president Nguyen Cao Ky in January 1967.

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Cohousing is a form of intentional community which has made a significant contribution to urban environmentalism by recreating the neighbourhood as the setting for engagement with the world beyond the front door.