Observational studyScandinavian journal of primary health care2017
Patient trajectories in a Norwegian unit of municipal emergency beds.
Observational study in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Identifying and characterizing subgroups of medically complex older patients in community-based intermediate care: a latent class analysis of Danish municipal temporary stay patients.BMC health services research · 2026Article
- Medication use patterns among older patients in temporary stays in Denmark.European geriatric medicine · 2025Article
- Characteristics and care trajectories of older patients in temporary stays in Denmark.European geriatric medicine · 2025Article
- Facility and Regional Variations in Admission and Discharge Patterns Within Step-Up Intermediate Care: A Cross-Sectional Study of Municipal Inpatient Acute Care Services in Norway.Health services insights · 2024Article
- Using stochastic simulation modelling to study occupancy levels of decentralised admission avoidance units in Norway.Health systems (Basingstoke, England) · 2023Article
- Finding good alternatives to hospitalisation: a data register study in five municipal acute wards in Norway.BMC health services research · 2022Article
- Associations between characteristics of the patients at municipal acute bed unit admission and further transfer to hospital: a prospective observational study.BMC health services research · 2020Observational
- How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway.Scandinavian journal of primary health care · 2020Article
- Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study.BMC nursing · 2020Article
- First four years of operation of a municipal acute bed unit in rural Norway.Scandinavian journal of primary health care · 2018Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Coordination reform was implemented in Norway from 2012, aiming at seamless patient trajectories. All municipalities are required to establish emergency care beds (MEBs) to avoid unnecessary hospital admissions. We aimed to examine occupancy rate, patient characteristics, diagnoses and discharge level of municipal care in a small MEB unit.
designCross-sectional, observational study.
settingA two-bed emergency care unit. SUBJECTS: All patients admitted to the unit during one year.
main outcome measuresPatients' age and gender, comorbidity, main diagnoses and municipal care level on admission and discharge, diagnostic and therapeutic initiatives, occupancy rate.
resultsSixty admissions were registered, with total bed occupancy 194 days, and an occupancy rate of 0.27. The patients (median age 83 years, 57% women) had mostly infections, musculoskeletal symptoms or undefined conditions. Some 48% of the stays exceeded three days and 43% of the patients were subsequently transferred to nursing homes or hospitals.
conclusionOccupancy rate was low. Patient selection was not according to national standards, and stays were longer. Many patients were transferred to nursing homes, indicating that the unit was an intermediate pathway or a short cut to institutional care. It is unclear whether the unit avoided hospital admissions.
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