Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study

BMC Health Services Research
Unni DahlRoar Johnsen

Abstract

Intermediate care is a health care model developed to optimize the coordination of health care services and functional independence. In Central Norway, an intermediate care hospital (ICH) was established in a municipality to improve hospital discharge and follow-up among elderly patients with chronic conditions and comprehensive care needs. The aim of this study was to investigate the effectiveness of hospital discharges to a municipality with an ICH compared to discharges to a municipality without an ICH. This was a non-randomized controlled observational study of hospitalized patients aged 60 years and older from two municipalities. Patients (n = 328) admitted to a general hospital from February 2010 through September 2011 were included in the study and followed for 12 months. The data were analyzed using descriptive statistics, analysis of covariance (ANCOVA) and Cox proportional hazard regression. Each patient discharged from the general hospital to the municipality with an ICH had a shorter length of stay and used on average 4.2 (p = 0.046) fewer hospital days during 1 year compared to patients from the municipality without an ICH. Otherwise, no statistical significant differences were found between the municipalities in t...Continue Reading

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Citations

Apr 22, 2019·Journal of Epidemiology and Community Health·Kate A Levin, Emilia Crighton
Aug 6, 2020·European Geriatric Medicine·Duygu SezginUNKNOWN all EU ADVANTAGE Joint Action Work Package 7 partners
Feb 1, 2019·European Geriatric Medicine·Mireia Puig CampmanySalvador Benito Vales
Feb 4, 2021·Geriatrics & Gerontology International·Shahzad GulPenelope J Webster
Feb 12, 2021·Scandinavian Journal of Primary Health Care·Mante HedmanPatrik Wennberg
Sep 5, 2021·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Brendan WalshSeán Lyons

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Clinical Trials Mentioned

NCT01706744

Software Mentioned

IPLOS
SPSS

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