Evaluation of an emergency department-initiated community care team transitional care programme on healthcare utilisation and mortality: A retrospective cohort study.

Community Care Team Transitional Care Programme participation was associated with significantly lower rates of inpatient bed days at 30 days (IRR 0.50; 95% CI 0.39-0.62; p < 0.001), 90 days (IRR 0.70; 95% CI 0.62-0.80; p < 0.001), and 180 days (IRR 0.83; 95% CI 0.75-0.92; p < 0.001).

No significant differences were observed in Emergency Department reattendance or hospital admission rates.

However, a subgroup receiving home visits (n = 122) demonstrated significantly lower Emergency Department reattendance at 90 days (IRR 0.59; 95% CI 0.37-0.93; p = 0.024) and 180 days (IRR 0.66; 95% CI 0.45-0.96; p = 0.029).