A randomised controlled trial evaluating the impact of the new Supported Transfer & Accelerated Rehabilitation Team (START) on hospital length of stay, subsequent hospitalisations, institutionalisation and cost in patients being discharged from hospital in the Waikato region who have recently suffered an acute illness or injury.

Waikato District Health Board.0 个研究点目标入组 300 人开始时间: 2011年9月14日最近更新: 2020年1月13日

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•1. The client is over 65 years (or close in age and interest) and lives within the catchment area Waikato DHB; 2. The client does not require acute hospital based treatment; 3. The client consents to being treated at home by the team, is aware of and is in agreement with the objectives set by the referring inter-disciplinary team; 4. Following assessment, the client is considered to have potential for partial or complete recovery with suitable home rehabilitation within six weeks; 5. The client is able to stand and transfer with one person (with or without the help of a resident carer); 6. The client's home is judged to be safe for the client in addition to the visiting staff and; 7. The client has had a recent acute illness or injury or is at a borderline level of function with an associated reduction in personal (PADL) and / or extended (EADL) activities of daily living and who without input from the team is: I. likely to fail to recuperate full potential of functional recovery; II. or is likely to fail to manage satisfactorily at home despite conventional community support and therefore would be at risk of hospital re-admission or institutionalisation.

•1.Clients who have been discharged from acute hospital care for more than 48 hours
•2.Clients without clinical need, only social need, e.g. clients needing support during usual caregivers admission to hospital
•3.Where the home environment is not conducive to achieving the rehabilitation outcomes for the client
•4.Where the clients primary rehabilitation intervention is provided in an outpatient setting
•5.Clients with progressive or deteriorating conditions where partial or full recovery cannot be reasonably expected within six weeks (e.g. Palliative care):
•6.The client is eligible for assessment, treatment and rehabilitation funded under the injury Prevention, Rehabilitation and Compensation Act (2001)
•7.The clients service needs are covered under another service specification or funding stream

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