Cost effective and Appropriate care by age and frailty adjusted Risk stratification of older patients in the Emergency medical Services. Who CARES2 study.
Title
Cost effective and Appropriate care by age and frailty adjusted Risk stratification of older patients in the Emergency medical Services. Who CARES2 study.
Aim
To improve quality and cost-effectiveness of emergency care for older patients in the Emergency Medical Services (EMS) by 1) delivering frailty attuned care with a holistic approach including shared decision-making improving Patient Reported Outcome Measures (PROMs, EQ-5D and PROM-OPAC (Older People Living with Frailty Receiving Acute Care)) 1,2 , 2) age and person-adjusted treatment in the ambulance using two validated screening tools, 3) reduce costs associated with ambulance transportations to the Emergency Department (ED) and subsequent hospitalizations.
Design
Stepped wedged Randomized Controlled Trial.
Methods
Mixed methods, qualitative and quantitative.
Population
Older patients needing an ambulance.
Outcome
Costs and Patient Reported Outcome Measure - Older Patients receiving Acute Care (PROM-OPAC) and EQ-5D.
Perspectives
Reducing costs associated with unnecessary ambulance transportations to the hospital and improve PROMs.
