Discharging patients with chronic disease effect of various forms of cooperation between hospital and the community health service
The Norwegian Knowledge Center for Health Services was asked by Diakonhjemmet Hospital, Oslo, to review available research on effect of various forms of coordination between hospital and the community health service when discharging patients with chronic illnesses. This review is thought to inform a...
| Main Authors: | , , |
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| Format: | eBook |
| Language: | English |
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Oslo
Norwegian Knowledge Centre for the Health Services
2013, June 2013
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| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | The Norwegian Knowledge Center for Health Services was asked by Diakonhjemmet Hospital, Oslo, to review available research on effect of various forms of coordination between hospital and the community health service when discharging patients with chronic illnesses. This review is thought to inform about choices of interventions and consideration of how to design a coordination intervention. The key results1. We included 45 studies about coordination interventions, performed both with and without other interventions at the same time. This is a subject of substantial interest, and the studies also imply a large number of different way of operationalisating the concept. 2. Regardless of whether the coordination was studied as the only element in an intervention, or alongside other interventions, there were no sigificant differences between the intervention and control group for the outcomes readmissions and deaths. 3. Of four studies performed without other simultaneous interventions, only one was of such quality that we trust the documentation of effect of the intervention: 1.1. Inviting the GP to the hospital before discharge may possibly increase the proportion of geriatric patients receiving community services after 6 months, than if the GP is not invited. 4. In the remaining studies, the coordination was a part of a multifaceted intervention where also other interventions were performed simultaneously. It is possible that: 1.1. Coordinators provided with considerably more time than usually available, to provide case management, including telephone follow-up, liaison with local councils and nursing agencies, and coordination of service provision, instead of usual hospital discharge planning may result in a higher proportion living at home after one month, a more extensive use of community services, personal care and higher costs within 6 months. 1.2. Comprehensive geriatric assessment in addition to the usual emergency department care, and a referral faxed from the emergency department to the community agency to expedite home care services may result in lower use of nursing home after 30 days, but no significant differences in costs after 30 days and 6 months or in use of nursing home after 6 months. We evaluated the quality of the documentation for all the reported outcomes as low or very low. This means that we expect futher research to influence our conclusions |
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| Item Description: | English summary excerpted from full report in Norwegian: Utskrivning av pasienter med kronisk sykdom : effekt av ulike former for samhandling mellom sykehus og kommunehelsetjeneste. - Excerpt from report no. 09-2013 |
| Physical Description: | 1 PDF file (pages 6-9) |
| ISBN: | 9788281215344 |