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Okay to Stay? A new plan to help people with long-term conditions remain in their own homes

Abstract:
Aims To assess the ‘Okay to Stay’ plan to investigate if this reduces visits to emergency departments, unplanned admissions and elective admission to hospital in elderly patients with long-term health conditions. Background The incidence of long-term conditions is rising as the elderly population increases, resulting in more people from this group attending emergency departments and being admitted to hospital. Okay to Stay is a simple plan for people with long-term conditions to help them remain in their own home if they suffer an acute exacerbation in their health. It was co-designed with professional and patient representatives with the aim of empowering patients and their carers to more effectively manage their long-term conditions. Methods Data from 50 patients (20 males, 30 females, mean baseline age 77.5 years) were compared 12 months before implementation of the plan and in the subsequent 12 months, with the significance of effects assessed at the 5 per cent significance level using t-tests. Findings Visits to emergency departments were reduced by 1.86; unplanned emergency admissions were reduced by 1.28 and planned elective admissions were raised by 0.22 admissions per annum. The reduction in visits to the emergency department was significant (p = 0.009) and the reduction in emergency admissions was significant (p = 0.015). The change in elective admissions was not significant (p = 0.855). The Okay to Stay plan is effective in reducing visits to the emergency department and unplanned hospital admissions in people with long-term conditions. This is a positive step to supporting vulnerable and complex patients who are cared for at home, and facilitates the recognition by the individual of the possibility to stay at home with the support of health professionals. There are potential cost benefits to the investment of initiating an Okay to Stay plan through the avoidance of visits to the emergency department and non-elective admissions to hospital.
Author Listing: Helen Chapman;Lisa Farndon;Rebekah Matthews;John Stephenson
Volume: 20
Pages: None
DOI: 10.1017/S1463423618000786
Language: English
Journal: Primary Health Care Research & Development

Primary Health Care Research and Development

PRIM HEALTH CARE RES

影响因子:1.6
是否综述期刊:否
是否OA:否
是否预警:不在预警名单内
发行时间:-
ISSN:1463-4236
发刊频率:-
收录数据库:SCIE/Scopus收录/DOAJ开放期刊
出版国家/地区:ENGLAND
出版社:Cambridge University Press

期刊介绍

Primary Health Care Research & Development is aimed specifically at both researchers and practitioners in primary health care, bridging the gap between the two areas. It provides a forum for the publication of international, interdisciplinary research and development in primary health care. It is essential reading for all involved in primary care: nurse practitioners, GPs and health service managers; professional and local groups in community health; researchers and academics; purchasers of primary health care services; allied health practitioners in secondary services and health-related consumer groups.

初级卫生保健研究与发展专门针对初级卫生保健的研究人员和从业人员,弥合这两个领域之间差距。它提供了一个论坛,以出版国际,跨学科的研究和发展,在初级卫生保健。这是所有参与初级保健的人的必备阅读:执业护士、全科医生和保健服务管理人员;社区保健方面的专业和地方团体;研究人员和学者;初级保健服务的购买者;第二服务部门的专职保健人员和与保健有关的消费者群体。

年发文量 71
国人发稿量 2
国人发文占比 2.82%
自引率 0.0%
平均录取率 -
平均审稿周期 33 Weeks
版面费 US$3255
偏重研究方向 PRIMARY HEALTH CARE-
期刊官网 http://journals.cambridge.org/action/displayIssue?iid=1804644
投稿链接 https://www.editorialmanager.com/PHC

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
89.39% 100.00% 0.00% 1.64%

相关指数

影响因子
影响因子
年发文量
自引率
Cite Score

预警情况

时间 预警情况
2025年03月发布的2025版 不在预警名单中
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级:Q3区

版本 按学科 分区
WOS期刊SCI分区
(2021-2022年最新版)
PRIMARY HEALTH CARE Q4

中科院分区

版本 大类学科 小类学科 Top期刊 综述期刊
医学
4区
PRIMARY HEALTH CARE
初级卫生保健
4区
2021年12月
基础版
医学
4区
PRIMARY HEALTH CARE
初级卫生保健
4区
2021年12月
升级版
医学
4区
PRIMARY HEALTH CARE
初级卫生保健
4区
2020年12月
旧的升级版
医学
4区
PRIMARY HEALTH CARE
初级卫生保健
4区
2022年12月
最新升级版
医学
4区
PRIMARY HEALTH CARE
初级卫生保健
4区