Internal medicine journal
-
Internal medicine journal · Sep 2021
Observational StudyAn Observational Study of the Incidence and Factors Associated with Patient Readmission from Home Based Care Under the Hospital in the Home Program.
Hospital in the Home (HITH) provides home-based care by hospital staff, which reduces inpatient length of stay and promotes a better quality of life. The frequency and precipitants for readmission from HITH back to the acute inpatient service are currently poorly defined. ⋯ Older age and greater comorbidity increased the odds of readmission, but patients from the ED were low risk compared to inpatient referrals.
-
Internal medicine journal · Sep 2021
Validation of Australian and Victorian guidelines for colonoscopy triage.
Managing the growing demand for colonoscopies is challenging. ⋯ The Victorian guidelines could reduce the proportion of Category 1 colonoscopies by 10% without reducing conversion or detection rates. This would require improvements in the quality of referrals and ordering faecal occult blood tests in 6% of symptomatic patients.
-
Internal medicine journal · Sep 2021
Can an online mental health training program improve physician supervisors' behaviour towards trainees?
Physician trainees have elevated rates of psychological distress, mental disorders and suicide. Physician supervisors can support the mental health needs of trainees. ⋯ This online mental health training programme for physician supervisors was feasible and associated with improved confidence and behaviour to support the mental health needs of trainees they supervised.
-
Internal medicine journal · Sep 2021
Communicating deprescribing decisions made in hospital with general practitioners in the community: a qualitative study.
Deprescribing, the supervised withdrawal of inappropriate medications, intends to manage polypharmacy, which is prevalent in older patients. ⋯ GP welcome increased communication with hospital clinicians regarding deprescribing decisions made while patients are in hospital. Communication needs to be timely, transparent, succinct and accessible. Lack of time and difficulties contacting hospital clinicians challenge this process.