Impact of a patient-specific national programme aimed at increasing the use of emollient moisturisers to reduce the risk of skin tears: a longitudinal cohort study
Autor: | Anna K Moffat, Jemisha Apajee, Lisa M. Kalisch Ellett, Kerrie Westaway, Clare Weston, Oliver Frank, Natalie Blacker, Russell Shute, Nicole L. Pratt, Elizabeth E. Roughead, Vanessa T Le Blanc |
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Přispěvatelé: | Moffat, Anna K, Westaway, Kerrie P, Apajee, Jemisha, Frank, Oliver, Shute, Russell, Weston, Clare, Blacker, Natalie, Le Blanc, Vanessa T, Kalisch Ellett, Lisa M, Pratt, Nicole L, Roughead, Elizabeth Ellen |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Rate ratio preventive medicine General Practitioners Intervention (counseling) medicine Humans Longitudinal Studies Prospective Studies wound management Prospective cohort study Preventive healthcare Aged Emollients business.industry Public health public health Australia General Medicine Patient specific Skin Tears dermatology Cohort Physical therapy Medicine geriatric dermatology Health Services Research business |
Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 10 (2020) |
ISSN: | 2044-6055 |
Popis: | ObjectivesTo evaluate the impact of a patient-specific national programme targeting older Australians and health professionals that aimed to increase use of emollient moisturisers to reduce to the risk of skin tears.DesignA prospective cohort intervention.ParticipantsThe intervention targeted 52 778 Australian Government’s Department of Veterans’ Affairs patients aged over 64 years who had risk factors for wound development, and their general practitioners (GPs) (n=14 178).Outcome measuresAn interrupted time series model compared the rate of dispensing of emollients in the targeted cohort before and up to 23 months after the intervention. Commitment questions were included in self-report forms.ResultsIn the first month after the intervention, the rate of claims increased 6.3-fold (95% CI: 5.2 to 7.6, pConclusionsThe intervention had a sustained effect over 23 months. Veterans who responded positively to commitment questions had higher uptake of emollients than those who did not. |
Databáze: | OpenAIRE |
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