Abstract
Key summary pointsAimWhat is the difference in the frequency of transfers to hospital between German and Dutch nursing home residents?FindingsIn German nursing homes, residents are transported to hospital more often than in the Netherlands (e.g., at least one emergency department visit during last year: 26.5% vs. 7.9%, p < 0.0001). General practitioners in Germany are less involved in the transfer decision than elder care physicians in the Netherlands.MessageThe differences are probably mainly due to differences in the health and care systems (e.g., very strong gatekeeper function of the general practitioner/elder care physician in the Netherlands).
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