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The implementation of Restoring Health - a chronic disease model of care to decrease acute health care utilization
R Howard1, R Sanders, S M Lydall-Smith
1Restoring Health Program, St Vincent's Health, Melbourne, Australia.
Chronic Respiratory Disease
|August 8, 2008
Summary
The Restoring Health Program significantly reduced emergency visits, hospital admissions, and length of stay for patients with chronic lung disease, heart failure, and diabetes.
Area of Science:
- Health Services Research
- Chronic Disease Management
- Clinical Outcomes
Background:
- High demand for acute healthcare services from patients with chronic lung diseases, heart failure, and diabetes.
- Need for integrated, multi-disciplinary care models to improve patient quality of life and function.
- Previous models have not adequately addressed the complex needs of these patient populations.
Purpose of the Study:
- To evaluate the impact of the Restoring Health Program on acute healthcare utilization.
- To assess the effectiveness of a multi-disciplinary care model for chronic disease patients.
- To determine the program's influence on patient quality of life and functional status.
Main Methods:
- Analysis of acute healthcare utilization (emergency department presentations, hospital admissions, length of stay) for 351 patients.
- Comparison of 6-month pre-recruitment data with 6-month post-recruitment data.
- Utilized within-subjects paired sample t-tests to assess statistical significance.
Main Results:
- Statistically significant decreases in emergency department presentations (P < 0.001).
- Statistically significant decreases in hospital admissions (P < 0.001).
- Statistically significant decreases in length of hospital stay (P < 0.001).
Conclusions:
- The Restoring Health Program effectively reduced acute healthcare demand.
- The multi-disciplinary model of care demonstrates significant positive impacts on health service utilization.
- The program shows promise in improving outcomes for patients with chronic lung diseases, heart failure, and diabetes.
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