Effectiveness of a rapid response service for frail older people.
OBJECTIVE
Many innovative community-based intermediate care services have been initiated to address the care needs of older people with chronic health conditions, but there is little evidence about their outcomes or how they are best configured and delivered. This study aimed to evaluate one practice innovation, a rapid response service (RRS).


METHODS
This study focused on the RRS's clinical and therapeutic achievements, and patients' satisfaction with its care. A mixed design of quantitative and qualitative methods was used.


RESULTS
Patients were satisfied with staff attitudes; being treated at home or in a home-like environment; and receiving a quick response to their needs and access to services/ help. Aspects of care that they were dissatisfied with were inconvenient facilities and insufficient equipment or material supplies; arrangements for their care and recovery; lack of communication; inappropriate medical care; and insufficient or limited duration of care.


CONCLUSIONS
The RRS provided holistic assessments for a previously under-served group of older people with chronic health problems and disabilities, and identified and responded to several unmet needs, partly through its own treatment and partly by referring patients to other health and social services.
Oh
Kyeung Mi
KM
School of Nursing, College of Health and Human Services, George Mason University, Fairfax, Virginia, USA.
Warnes
Anthony M
AM
Bath
Peter
P
D039602:After-Hours Care / Q000458:organization & administration*; D000368:Aged; D000369:Aged, 80 and over; D003152:Community Health Nursing / Q000458:organization & administration; D004739:England; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D005851:Geriatric Nursing / Q000458:organization & administration; D006299:Health Services for the Aged / Q000458:organization & administration*; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D036301:Qualitative Research; D013222:State Medicine / Q000458:organization & administration; D019467:Subacute Care / Q000458:organization & administration* / Q000523:psychology