ArticleBMC health services research2015
The influence of an intermediate care hospital on health care utilization among elderly patients--a retrospective comparative cohort study.
Article in BMC health services research, 2015. 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 10 papers.
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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
Who cites it
10 citing papers in PubMed.
- Municipal intermediate care services in Denmark and Norway: a cross-country comparative analysis.Scandinavian journal of primary health care · 2026Article
- Article
- Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost.International journal of environmental research and public health · 2021Article
- What matters when asking, "what matters to you?" - perceptions and experiences of health care providers on involving older people in transitional care.BMC health services research · 2020Article
- Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study.International journal of environmental research and public health · 2019Observational
- Practicality of Acute and Transitional Care and its consequences in the era of SwissDRG: a focus group study.BMC health services research · 2019Article
- Reinventing the community hospital: a retrospective population-based cohort study of a natural experiment using register data.BMJ open · 2016Article
- Interorganizational Collaboration in Transitional Care - A Study of a Post-Discharge Programme for Elderly Patients.International journal of integrated care · 2016Article
- 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 · 2015Observational
- Intersectoral Ward Rounds on Patients Admitted to Temporary Twenty-Four-Hour Accommodations in Denmark: Case Study.International journal of integrated careArticle
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4 authors.
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Abstract
backgroundAn intermediate care hospital (ICH) was established in a municipality in Central Norway in 2007 to improve the coordination of services and follow-up among elderly and chronically ill patients after hospital discharge. The aim of this study was to compare health care utilization by elderly patients in a municipality with an ICH to that of elderly patients in a municipality without an ICH.
methodsThis study was a retrospective comparative cohort study of all hospitalized patients aged 60 years or older in two municipalities. The data were collected from the national register of hospital use from 2005 to 2012, and from the local general hospital and two primary health care service providers from 2008 to 2012 (approx. 1,250 patients per follow-up year). The data were analyzed using descriptive statistics and analysis of covariance (ANCOVA).
resultsThe length of hospital stay decreased from the time the ICH was introduced and remained between 10% and 22% lower than the length of hospital stay in the comparative municipality for the next five years. No differences in the number of readmissions or admissions during one year follow-up after the index stay at the local general hospital or changes in primary health care utilization were observed. In the year after hospital discharge, the municipality with an ICH offered more hour-based care to elderly patients living at home (estimated mean = 234 [95% CI 215-252] versus 175 [95% CI 154-196] hours per person and year), while the comparative municipality had a higher utilization of long-term stays in nursing homes (estimated mean = 33.3 [95% CI 29.0-37.7] versus 21.9 [95% CI 18.0-25.7] days per person and year).
conclusionsThis study indicates that the introduction of an ICH rapidly reduces the length of hospital stay without exposing patients to an increased health risk. The ICH appears to operate as an extension of the general hospital, with only a minor impact on the pattern of primary health care utilization.
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