Reducing unplanned admission to hospital of community dwelling adults: evidence review

We share the findings of a rapid literature review we commissioned about interventions to reduce unplanned admission to hospital of community dwelling adults.

Our review report may be of interest to anyone working in health and social care in Scotland developing services to help prevent unnecessary hospital admission and allow people to stay in their home or in a homely setting.

We worked with an academic partner, at the Scottish Improvement Science Collaborating Centre (SISCC), to do this evidence review. The Evidence and Evaluation for Improvement Team (EEvIT) did the literature search and researchers at SISCC wrote the review. The review was primarily designed to help inform future work of the ihub’s Living Well in Communities portfolio for people with long term conditions, and because of this and the existence of other ihub programmes, it does not include publications with a focus on frailty, older people, dementia, learning disability, or mental health.

Our literature search found 29 relevant reviews for inclusion in our review.

Our review includes various interventions for reducing unplanned admission to hospital of community dwelling adults. These interventions varied in name and definition between different reviews but the broad groups are:

  • hospital in the home
  • care co-ordination
  • integrated care
  • transitional care
  • telephone support
  • advanced care planning, and
  • various interventions.

This rapid review was designed to give a summary of the interventions and their effectiveness. It was not possible to draw firm conclusions or recommend implementation of specific interventions for NHSScotland based on this review, but there was at least some moderate evidence of effectiveness relating to some of the broad groups of interventions we found.

Read our review in more depth