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- W2891404566 abstract "Hospitalisation may cause negative effects on elderly patients. Therefore, it is important that referral and admission of older nursing home patients is well-considered. The aim of this study is to investigate the factors that affect the decision making process.Questionnaire survey among elderly care physicians and physicians following the elderly care physician training program.Of the 1,540 surveys, 200 were returned (response rate of 13%). Over 60% of the respondents had referred a nursing home patient to the hospital in the previous month. A stay at a geriatric rehabilitation ward, suspicion of a fracture, a good quality of life, a patient's or family's wish for referral, no treatment restrictions, and follow-up appointments in the hospital were factors which made referral to the hospital more likely according to the respondents. Medical specialist consultation and the in hospital presence of a physician specialised in geriatric care were considered to be important. Referral was less likely if a patient was diagnosed with dementia, had a low quality of life or had treatment restrictions.Both patient-related and non-patient-related factors influence hospital referral of nursing home patients. Further research is needed to determine whether these different factors contribute to the different outcomes of a hospital admission, to facilitate proper decision-making for elderly care physicians." @default.
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- W2891404566 date "2018-09-10" @default.
- W2891404566 modified "2023-09-23" @default.
- W2891404566 title "Factoren die van invloed zijn op het verwijzen van patiënten van het verpleeghuis naar het ziekenhuis" @default.
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- W2891404566 doi "https://doi.org/10.1007/s12439-018-0260-x" @default.
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