Neurological services

Early supported discharge services for people with acute stroke

Abstract Background People with stroke conventionally receive a substantial part of their rehabilitation in hospital. Services have now been developed that offer people in hospital an early discharge with rehabilitation at home (early supported discharge: ESD). Objectives To establish if, in comparison with conventional care, services that offer people in hospital with stroke a policy […]

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Home or foster home care versus institutional long-term care for functionally dependent older people

Abstract Background Changing population demographics have led to an increasing number of functionally dependent older people who require care and medical treatment. In many countries, government policy aims to shift resources into the community from institutional care settings with the expectation that this will reduce costs and improve the quality of care compared. Objectives To […]

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Automated telephone communication systems for preventive healthcare and management of long-term conditions

Abstract Background Automated telephone communication systems (ATCS) can deliver voice messages and collect health-related information from patients using either their telephone’s touch-tone keypad or voice recognition software. ATCS can supplement or replace telephone contact between health professionals and patients. There are four different types of ATCS: unidirectional (one-way, non-interactive voice communication), interactive voice response (IVR) […]

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Non-medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care

Abstract Background A range of health workforce strategies are needed to address health service demands in low-, middle- and high-income countries. Non-medical prescribing involves nurses, pharmacists, allied health professionals, and physician assistants substituting for doctors in a prescribing role, and this is one approach to improve access to medicines. Objectives To assess clinical, patient-reported, and […]

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Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services

Abstract Background Despite the existence of effective interventions and best-practice guideline recommendations for childcare services to implement policies, practices and programmes to promote child healthy eating, physical activity and prevent unhealthy weight gain, many services fail to do so. Objectives The primary aim of the review was to examine the effectiveness of strategies aimed at […]

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Admission avoidance hospital at home

Abstract Background Admission avoidance hospital at home provides active treatment by healthcare professionals in the patient’s home for a condition that otherwise would require acute hospital inpatient care, and always for a limited time period. This is the third update of the original review. Objectives To determine the effectiveness and cost of managing patients with […]

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Hospital at home: home-based end of life care

Abstract Background The policy in a number of countries is to provide people with a terminal illness the choice of dying at home. This policy is supported by surveys indicating that the general public and people with a terminal illness would prefer to receive end-of-life care at home. This is the fourth update of the […]

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Interventions to optimise prescribing for older people in care homes

Abstract Background There is a substantial body of evidence that prescribing for care home residents is suboptimal and requires improvement. Consequently, there is a need to identify effective interventions to optimise prescribing and resident outcomes in this context. This is an update of a previously published review (Alldred 2013). Objectives The objective of the review […]

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Helicopter emergency medical services for adults with major trauma

Abstract Background Although helicopters are presently an integral part of trauma systems in most developed nations, previous reviews and studies to date have raised questions about which groups of traumatically injured people derive the greatest benefit. Objectives To determine if helicopter emergency medical services (HEMS) transport, compared with ground emergency medical services (GEMS) transport, is […]

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Medical day hospital care for the older versus alternative forms of care

Abstract Background The proportion of the world’s population aged over 60 years is increasing. Therefore, there is a need to examine different methods of healthcare provision for this population. Medical day hospitals provide multidisciplinary health services to older people in one location. Objectives To examine the effectiveness of medical day hospitals for older people in […]

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