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Experiences of Ambulatory Care for Frail, Older People and Their Carers During Acute Illness: A Qualitative, Ethnographic Study

      Increased age is associated with increased emergency department attendance and emergency hospital admissions,
      • Huntley A.
      • Lasserson D.
      • Wye L.
      • et al.
      Which features of primary care affect unscheduled secondary care use? A systematic review.
      but there is evidence that the acute hospital environment is unsuited to older people with frailty.
      • Themessl-Huber M.
      • Hubbard G.
      • Munro P.
      Frail older people's experiences and use of health and social care services.
      • Shankar K.N.
      • Bhatia B.K.
      • Schuur J.D.
      Toward patient-centered care: A systematic review of older adults’ views of quality emergency care.
      • Calnan M.
      • Tadd W.
      • Calnan S.
      • et al.
      “I often worry about the older person being in that system”: Exploring the key influences on the provision of dignified care for older people in acute hospitals.
      • Tadd W.
      • Hillman A.
      • Calnan S.
      • et al.
      Dignity in practice: An exploration of the care of older adults in acute NHS Trusts. NIHR Service Delivery and Organisation Programme.
      There are policy imperatives to increase the acute care delivered outside traditional hospital settings.
      Future Hospital Commission
      Future hospital: caring for medical patients. A report from the Future Hospital Commission to the Royal College of Physicians.
      For some patients, acute care can be delivered on an ambulatory basis,
      • Shepperd S.
      • Iliffe S.
      • Doll H.A.
      • et al.
      Admission avoidance hospital at home.
      but the impact on them is uncertain.
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