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ArticleInternational journal of integrated care2014

Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital - a qualitative study of health professionals' experiences.

Unni Dahl, Aslak Steinsbekk, Svanhild Jenssen, Roar Johnsen

Registry-linked trialAbstract read
In one paragraph

Article in International journal of integrated care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01706744 (Can Discharge Via an Intermediate Care Unit Prevent Aggravation of Disease and Loss of Functionality, Without Increasing the Level of Cost? A Controlled Observational Study), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01706744 nacompletednot on this map

Can Discharge Via an Intermediate Care Unit Prevent Aggravation of Disease and Loss of Functionality, Without Increasing the Level of Cost? A Controlled Observational Study

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2010 to 2013Enrolled328ConditionsPatients, AgedArmsIntermediate care unit, Local health care 1, Local health care 2
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Unni DahlDepartment of Public Health and General Practice, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
Aslak SteinsbekkDepartment of Public Health and General Practice, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
Svanhild JenssenCentral Norway Health Authority, 7500 Stjørdal, Norway.
Roar JohnsenDepartment of Public Health and General Practice, Norwegian University of Science and Technology, 7491 Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntermediate care is an organisational approach to improve the coordination of health care services between health care levels. In Central Norway an intermediate care hospital was established in a municipality to improve discharge from a general hospital to primary health care. The aim of this study was to investigate how health professionals experienced hospital discharge of elderly patients to primary health care with and without an intermediate care hospital.

methodsA qualitative study with data collected through semi-structured focus groups and individual interviews.

resultsDischarge via the intermediate care hospital was contrasted favourably compared to discharge directly from hospital to primary health care. Although increased capacity to receive patients from hospital and prepare them for discharge to primary health care was viewed as a benefit, professionals still requested better communication with the preceding care level concerning further treatment and care for the elderly patients.

conclusionsThe intermediate care hospital reduced the coordination challenges during discharge of elderly patients from hospital to primary health care. Nevertheless, the intermediate care was experienced more like an extension of hospital than an included part of primary health care and did not meet the need for communication across care levels.

Indexed as

coordinationelderlyhospital dischargeintegrated careintermediate care hospitalprofessional communication

Identifiers

PMID24868194
PMCPMC4027887

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Registered trials

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