A pilot mobile integrated healthcare program for frequent utilizers of emergency department services

The American Journal of Emergency Medicine
Vicki A NejtekLiam O'Neill

Abstract

To examine whether or not a mobile integrated health (MIH) program may improve health-related quality of life while reducing emergency department (ED) transports, ED admissions, and inpatient hospital admissions in frequent utilizers of ED services. A small retrospective evaluation assessing pre- and post-program quality of life, ED transports, ED admissions, and inpatient hospital admissions was conducted in patients who frequently used the ED for non-emergent or emergent/primary care treatable conditions. Pre- and post-program data available on 64 program completers are reported. Of those with mobility problems (n=42), 38% improved; those with problems performing usual activities (N=45), 58% reported improvement; and of those experiencing moderate to extreme pain or discomfort (N=48), 42% reported no pain or discomfort after program completion. Frequency of ED transports decreased (5.34±6.0 vs. 2.08±3.3; p <0.000), as did ED admissions (9.66±10.2 vs. 3.30±4.6; p<0.000), and inpatient hospital admissions (3.11±5.5 vs. 1.38±2.5; p=0.003). Results suggest that MIH participation is associated with improved quality of life, reduced ED transports, ED admissions, and inpatient hospital admissions. The MIH program may have potential ...Continue Reading

Citations

Aug 11, 2018·Journal of the American Geriatrics Society·Manish N ShahEric A Coleman
Mar 27, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Gerard G CarrollRachel Haroz
Apr 3, 2020·Journal of Interprofessional Care·Whitney A ThurmanChinyere Okoh
Feb 6, 2021·BMC Medical Informatics and Decision Making·Luis M Pinet-PeraltaErnest Lindqvist
May 5, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·William J LeggioUNKNOWN on behalf the Education Committee of the National Association of EMS Physicians

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