Project Description

The InterACT (Intervention for Appropriate Care & Treatment) study

Synopsis

aushsi InteractWhy the research project is important

The end-of-life phase for older Australians is becoming an increasingly medicalised experience, with more than half of Australian deaths now occurring in hospital. Challenges involved in caring for this elderly patient population in acute care settings include how to limit non-beneficial treatments (that are estimated to cost the national health system $A153.1 million annually).

What the research seeks to do

The InterACT study aims to promote appropriate care and treatment decisions and pathways for this patient population in three major Queensland hospitals. Specifically, through an audit and feedback method, it will increase clinicians’ awareness of their older patients’ risk profile. We expect to improve the capacity of clinicians to choose alternative treatments for these vulnerable patients and to increase institutional support for better end-of-life care.

What are the research outcomes/ impact

The primary outcome being measured is the proportion of patients having one or more ICU admissions. Other outcomes include changes to the length of hospital stay (earlier discharge), time to hospital re-admission, time to first documented clinician-led care review, time to care directive measures and palliative care referral, and medical emergency calls use. The use and cost of healthcare resources and the implementation process will also be evaluated.

Funding Body

This project is funded by a National Health and Medical Research Council (NHMRC) partnership project grant (GNT1151923) and led by Queensland University of Technology (QUT).

Further Details

Read our protocol publication here

For project resources and further information, please contact Alison Farrington at contact@aushsi.org.au

Prof Adrian Barnett, Queensland University of Technology (QUT)

Prof Ken Hillman, University of New South Wales (UNSW)

Prof Lindy Willmot, QUT

Prof Ben White, QUT

Prof Gillian Harvey, Flinders University

Prof Leonie Callaway, QUT

A/Prof Magnolia Cardona, Bond University

Prof Nicholas Graves, QUT Duke NUS, Singapore

Dr Xing Lee, QUT

Prof Steven McPhail, QUT

Gold Coast Hospital & Health Service (GCHHS)

Metro North Hospital & Health Service (MNHHS)

Palliative Care Australia (PCA)

Deeble Institute for Health Policy Research