24-hour access outpatient clinic for patients with exacerbation of chronic disease: a before-after cohort study of differences in acute healthcare utilisation

BMC Health Services Research
Anders Damgaard MøllerPeter Vedsted

Abstract

Chronic diseases are becoming more common due to an increasing ageing population. Patients with chronic conditions managed in outpatient clinics account for a large share of healthcare costs. We developed a 24-h access outpatient clinic offering 24-h telephone support and triaged access to the hospital for patients with acute exacerbation of four selected chronic diseases. The aim of this study was to conduct a 1-year before-after study of the acute healthcare utilisation in patients offered the 24-h access outpatient clinic intervention. The study was conducted as an observational register-based cohort study. Data from the patient administrative register and the Danish National Health Service Register were extracted 12 months before and 12 months after implementation of the 24-h access intervention. Patients with chronic obstructive pulmonary disease, chronic liver disease, inflammatory bowel disease and heart failure managed in hospital outpatient clinics were enrolled in the study. Differences in healthcare utilisation were analysed for all patients, including the subgroup of high-risk patients with at least one acute admission in the year before enrolment. Length-of-stay remained unchanged for all diagnostic groups, except ...Continue Reading

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Citations

Dec 17, 2020·International Journal of Environmental Research and Public Health·Ping-Jen ChenElizabeth L Sampson
Jun 2, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Meghan J ElliottPaul E Ronksley

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