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Qualitative – other
Interviews with Australian nursing home managers reveal that various factors are associated with the decision to transfer a resident to hospital, including two factors not identified in previous research: advance care planning and support from local health services
  1. Kali S Thomas1,
  2. David M Dosa2
  1. 1Center for Gerontology and Healthcare Research, Brown University, Providence, Rhode Island, USA
  2. 2Department of Medicine, Brown University, Providence, Providence, Rhode Island, USA
  1. Correspondence to David M Dosa
    Department of Medicine, Brown University, Box G-S121, 121 South Main Street, Providence, RI 02806, USA;David_Dosa{at}

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Implication for practice and research

  • There are many different factors that contribute to the complexity of the decision to transfer a nursing home resident to the hospital.

  • This study suggests that strategies such as improving advance care planning (ACP) and collaboration between hospitals and nursing homes could reduce the number of residents who are transferred to the local hospital.


Numerous factors impact the decision to transfer a nursing home resident to the local hospital. Previous research has broadly defined these as residents' welfare, residents' preferences, providers' attitudes and the financial implications of hospitalisation. …

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  • Competing interests None.