![]() ![]() ![]() Averted hospitalisations not only have a positive impact on the quality of life of the NHR, but also save the costs of potential malpractices resulting from inefficiencies in the healthcare system, such as over treatment. Strengthening the inter-professional collaboration between GPs and nursing staff could therefore not only reduce hospital admission related co-morbidities of NHRs but also serve as a tool to monitor and/or foresee severe health deteriorations of the NHR at an earlier stage. Studies suggest a steady flow of communication between general practitioners (GPs) and nursing staff and a fixed contact person could potentially reduce the number of unplanned hospitalisations. Unplanned hospitalisations are often due to the nursing and/or medical staff in charge being unable to assess the severity of the acute medical condition or the lack of a concise plan of action in the case of severe health deterioration of a NHR. Reasons for hospitalisation include but are not limited to falls, fractures, cardiovascular diseases, and respiratory tract infections. In Germany, it is assumed that 30–60% of all NHRs are at least once a year admitted to a hospital, with 40% of hospital admission being preventable according to international data. Īcute changes of a NHRs’ medical condition, which require immediate hospital admission, are often traumatizing and bear additional health risks for the NHR, such as pressure ulcers or nosocomial diseases. In Germany, first line medical assistance for nursing home residents (NHR) is provided by the general practitioner, receiving financial compensation based on the Doctors’ Fee Scale within the Statutory Health Insurance Scheme (Einheitlicher Bewertungsmaßstab EBM). In 2019, nearly 20% of all German patients with a need of care lived in NH. To provide these patients with the best suitable care provision, admissions to nursing homes (NH) pose a possible solution. With progression in age people often become more likely to require assistance in their daily life.
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