This Evidence Snapshot provides a rapid review of the evidence around the effectiveness of secondary triage models for residents of aged care facilities. Models analysed included those with or without medical support, those with additional intervention in the residential aged care facilities (RACFs), and those with referral to vs collaboration with alternative services. Outcomes included were ED presentations, hospital admissions and ambulance demand. While the strength of the overall evidence is low, the strongest evidence was found for interventions in RACFs and a community-based early pre-hospital assessment model. The authors also looked at other outcomes of interest including cost-effectiveness; staffing, training and qualifications; and resident and patient participation in decision-making.

Citation

Oei J L, Azim S I, Lee E, Blythe S, Black K et al. Substance use during pregnancy, birth and the postnatal period: an Evidence Check rapid review brokered by the Sax Institute NSW Ministry of Health, January 2021