Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

47 questions · 47 findings · 10 reviews · Effective Practice and Organisation of Care

No studies found 8 · 17%GRADE not reported 0 · 0%Very low 18 · 38.3%Low 11 · 23.4%Moderate 9 · 19.1%High 1 · 2.1%

Summary of findings: Any alternative model of care vs usual care

ED visits · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Summary of findings: Any alternative model of care showed no clear difference in emergency department (ED) visits: proportion of residents with at… compared with usual care (low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Unplanned admission to hospital · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Summary of findings: Any alternative model of care may leads to lower unplanned hospital admissions: proportion of residents with at least… compared with usual care (low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Falls · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

It is very uncertain whether summary of findings: Any alternative model of care changes adverse events/falls: proportion of residents with a fall at longest compared with usual care (very low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Adherence to clinical guideline‐recommended care: proportion of residents with adequate antidepressant therapy at longest · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

It is very uncertain whether summary of findings: Any alternative model of care changes adherence to clinical guideline‐recommended care: proportion of… compared with usual care (very low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Differences in quality of life ( · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Summary of findings: Any alternative model of care showed no clear difference in health‐related quality of life (mean difference) at longest compared with usual care (low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Has died · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Summary of findings: Any alternative model of care showed no clear difference in mortality: proportion of residents who died at longest compared with usual care (moderate certainty).

1 finding from 1 review

Primary‐level worker‐led collaborative care vs usual care

Service utilisation ‐ referral to mental health team ‐ long term (7 to 12 months post intervention)Â · adults with common mental disorders

Primary‐level worker‐led collaborative care may leads to lower service utilisation ‐ referral to mental health team ‐ long term (7… compared with usual care (low certainty).

1 finding from 1 review

Summary of findings: feedback on medication adherence to physicians vs usual care

Patient outcomes Lipid levels, HbA1C level, HIV viral load, number of major atherosclerosis disease events · any physician, and any patient treated for chronic diseases with long‐term medication use
1 finding from 1 review

Summary of findings: feedback on medication adherence to physicians vs usual care

Health resource use Rate of hospitalisations, rate of emergency department encounters, rate of outpatient encounters, rate of oral steroid use · any physician, and any patient treated for chronic diseases with long‐term medication use
1 finding from 1 review

Summary of findings: feedback on medication adherence to physicians vs usual care

Processes of care Rate of medication change (medication discontinued, added, replaced), proportion of visits with appropriate management of uncontrolled hypertension, patient rating (quality of care, duration of the visit, communication with physi... · any physician, and any patient treated for chronic diseases with long‐term medication use
1 finding from 1 review

Whole‐facility changes: Home‐like models vs traditional environment

Health‐related quality of life Dementia‐specific quality of life measure (QUALIDEM) (higher scores = better) · older adults living in long‐term residential care including, but not limited to, dementia‐specific care settings
1 finding from 1 review

Whole‐facility changes: Home‐like models vs traditional environment

Global behaviour Neuropsychiatric Inventory (NPI), Neuropsychiatric Inventory‐Nursing Home version (NPI‐NH) and Nurses Observations Scale for Geriatric Patients (NOSGER) (lower scores = better) · older adults living in long‐term residential care including, but not limited to, dementia‐specific care settings
1 finding from 1 review

Whole‐facility changes: Home‐like models vs traditional environment

Depression Revised Memory and Behaviour Problems Checklist (RMBPC) and Mood Scale Score (MSS) (lower scores = better) · older adults living in long‐term residential care including, but not limited to, dementia‐specific care settings
1 finding from 1 review

Whole‐facility changes: Home‐like models vs traditional environment

Serious adverse effects Physical restraints, reported as percentage points (lower = better) · older adults living in long‐term residential care including, but not limited to, dementia‐specific care settings

It is very uncertain whether whole‐facility changes: Home‐like models changes serious adverse effects Physical restraints, reported as percentage… compared with traditional environment (very low certainty).

1 finding from 1 review