{"id":1200,"date":"2020-10-29T00:00:00","date_gmt":"2020-10-29T00:00:00","guid":{"rendered":"https:\/\/nari.extreme-marketing.com.au\/marc\/marc_research\/paha\/"},"modified":"2026-08-13T15:42:04","modified_gmt":"2026-08-13T15:42:04","slug":"paha","status":"publish","type":"marc_research","link":"https:\/\/nari.extreme-marketing.com.au\/marc\/marc_research\/paha\/","title":{"rendered":"PAHA: Preventing Avoidable Hospital Admissions for People with Dementia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;84px||70px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1366px&#8221; custom_padding=&#8221;0px||0px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Background<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin:0 0 8px;\">5% of all hospitalisations in Australia are potentially avoidable if conditions were managed earlier. These are known as ambulatory care sensitive (ACS) conditions.<\/li>\n<li style=\"margin:0 0 8px;\">Older Australians make up 14-27% of all potentially avoidable hospitalisations.<\/li>\n<li style=\"margin:0 0 8px;\">Compared to age-matched peers, people with dementia are at greater risk of ACS conditions; have 2x rate of hospitalisation; have more long-term health conditions (5.4 vs 2.9), and 2-3x more likely to have poor outcomes from hospitalisation.<\/li>\n<li style=\"margin:0 0 8px;\">75% of dementia-related hospitalisations are from those living in the community.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Design<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||24px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>Retrospective audit of 150 Emergency Department (ED) records of people with dementia living in the community across 3 Melbourne hospitals.<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>Survey of 24 staff from 2 Melbourne hospitals regarding practices and attitudes towards people with dementia and their carers who attend the ED.<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>Systematic review of the effectiveness of carer interventions in reducing avoidable hospitalisations for people with dementia.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Themes &#038; Key Findings<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin:0 0 8px;\">Most presentations were not considered avoidable at the time of ED presentation<\/li>\n<li style=\"margin:0 0 8px;\">A large proportion of ED presentations were considered to be avoidable in the days\/weeks prior<\/li>\n<li style=\"margin:0 0 8px;\">Carer interventions appear to have some short-term impact on carer wellbeing, but have little impact on rates of hospitalisation for people with dementia.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Results<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin:0 0 8px;\">ED records did not contain clear information about dementia status (37% dementia type unknown)<\/li>\n<li style=\"margin:0 0 8px;\">People with dementia have multiple comorbidities<\/li>\n<li style=\"margin:0 0 8px;\">Pain &#038; falls are the most common reasons for ED presentation<\/li>\n<li style=\"margin:0 0 8px;\">Most presentations (59%) were not considered avoidable at the time of ED presentation<\/li>\n<li style=\"margin:0 0 8px;\">A large proportion (85%) of ED presentations were considered to be avoidable in the days\/weeks prior<\/li>\n<li style=\"margin:0 0 8px;\">Staff perceptions differ from actual reasons for ED presentation. Most (96%) staff agreed that hospital was a risk to people with dementia. However, 87% reported that people with dementia are a major problem for the health service.<\/li>\n<li style=\"margin:0 0 8px;\">15\/17 studies showed no effect on hospitalisation rates. 2 studies found a significant reduction in hospitalisation: 1 low quality study and 1 RCT that showed improvement in ED presentations but not admissions in a subgroup of participants.<\/li>\n<li style=\"margin:0 0 8px;\">Some benefit of interventions on carer wellbeing but they were not sustained.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Recommendations<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin:0 0 8px;\">Need to improve the suitability of hospitals for people with dementia to minimise impact when acute care is needed.<\/li>\n<li style=\"margin:0 0 8px;\">Interventions should focus on optimising the physical health of people with dementia to minimise the longer-term need for hospitalisation.<\/li>\n<li style=\"margin:0 0 8px;\">Carer and GP perspectives were not included in this study. Exploration of carer experiences and GP practices is warranted.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Completed September 2018<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFF6EC&#8221; custom_padding=&#8221;70px||60px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1366px&#8221; custom_padding=&#8221;0px||0px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|700|||||||&#8221; text_text_color=&#8221;#E06E00&#8243; text_font_size=&#8221;11px&#8221; text_letter_spacing=&#8221;2px&#8221; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||14px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>ABOUT THIS PROJECT<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"margin:0 0 4px;font-family:Roboto,Arial,sans-serif;font-weight:700;font-size:10px;letter-spacing:1.6px;text-transform:uppercase;color:#6E7591;\">COLLABORATORS<\/p>\n<p style=\"margin:0 0 22px;font-size:16px;line-height:1.7;color:#2B3352;\">Austin Health, Dementia Australia, Victorian Department of Health (DH), NARI, Northern Health, North Western Melbourne PHN, Melbourne Health, University of Melbourne<\/p>\n<p style=\"margin:0 0 6px;font-size:11px;font-weight:700;letter-spacing:1.5px;text-transform:uppercase;color:#6E7591;\">LAST UPDATED<\/p>\n<p style=\"margin:0 0 22px;font-size:16px;line-height:1.7;color:#2B3352;\">22 April 2026<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||26px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/www.nari.net.au\/Handlers\/Download.ashx?IDMF=bc4f5d9e-1499-4218-8b4b-216274ea9101&#8243; button_text=&#8221;PAHA Project Summary Infographic&#8221; url_new_window=&#8221;on&#8221; _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#1F1F1F&#8221; button_bg_color=&#8221;#FF8200&#8243; button_border_width=&#8221;2px&#8221; button_border_radius=&#8221;3px&#8221; button_font=&#8221;Roboto|400|||||||&#8221; button_text_size=&#8221;16px&#8221; custom_margin=&#8221;0px|14px|10px|0px|true|true&#8221; custom_padding=&#8221;13px|24px|13px|24px|true|true&#8221; global_colors_info=&#8221;{}&#8221; button_border_color=&#8221;#FF8200&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background5% of all hospitalisations in Australia are potentially avoidable if conditions were managed earlier. These are known as ambulatory care sensitive (ACS) conditions.Older Australians make up 14-27% of all potentially avoidable hospitalisations.Compared to age-matched peers, people with dementia are at greater risk of ACS conditions; have 2x rate of hospitalisation; have more long-term health conditions [&hellip;]<\/p>\n","protected":false},"featured_media":1554,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"resource-topics":[13,17],"class_list":["post-1200","marc_research","type-marc_research","status-publish","has-post-thumbnail","hentry","marc_theme-dementia-research","marc_theme-hospital-care-research"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PAHA: Preventing Avoidable Hospital Admissions for People with Dementia - MARC<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PAHA: Preventing Avoidable Hospital Admissions for People with Dementia - MARC\" \/>\n<meta property=\"og:description\" content=\"Background5% of all hospitalisations in Australia are potentially avoidable if conditions were managed earlier. These are known as ambulatory care sensitive (ACS) conditions.Older Australians make up 14-27% of all potentially avoidable hospitalisations.Compared to age-matched peers, people with dementia are at greater risk of ACS conditions; have 2x rate of hospitalisation; have more long-term health conditions [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nari.extreme-marketing.com.au\/marc\/marc_research\/paha\/\" \/>\n<meta property=\"og:site_name\" content=\"MARC\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-13T15:42:04+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/\",\"url\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/\",\"name\":\"PAHA: Preventing Avoidable Hospital Admissions for People with Dementia - MARC\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2026\\\/08\\\/nari-naris-dementia-research-hero-01.jpg\",\"datePublished\":\"2020-10-29T00:00:00+00:00\",\"dateModified\":\"2026-08-13T15:42:04+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/#primaryimage\",\"url\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2026\\\/08\\\/nari-naris-dementia-research-hero-01.jpg\",\"contentUrl\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2026\\\/08\\\/nari-naris-dementia-research-hero-01.jpg\",\"width\":877,\"height\":620},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/marc_research\\\/paha\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"PAHA: Preventing Avoidable Hospital Admissions for People with Dementia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/#website\",\"url\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/\",\"name\":\"MARC\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/nari.extreme-marketing.com.au\\\/marc\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"PAHA: Preventing Avoidable Hospital Admissions for People with Dementia - MARC","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"PAHA: Preventing Avoidable Hospital Admissions for People with Dementia - MARC","og_description":"Background5% of all hospitalisations in Australia are potentially avoidable if conditions were managed earlier. 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