Matches in SemOpenAlex for { <https://semopenalex.org/work/W2895711602> ?p ?o ?g. }
Showing items 1 to 91 of
91
with 100 items per page.
- W2895711602 endingPage "396" @default.
- W2895711602 startingPage "390" @default.
- W2895711602 abstract "Objective: To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal service avoided acute hospital admissions.Design: Observational study.Setting: A two-bed municipal acute bed unit.Subjects: All patients admitted to the unit between 2013 and 2016.Main outcome measures: Demographics, comorbidity, main diagnoses and level of municipal care on admission and discharge, diagnostic and therapeutic initiatives, MAU occupancy rate, and acute hospital admission rate.Results: Altogether, 389 admissions occurred, 215 first-time admissions and 174 readmissions. The mean MAU bed occupancy rate doubled from of 0.26 in 2013 to 0.50 in 2016, while acute hospital admission rates declined. The patients (median age 84.0 years, 48.9% women at first time admission) were most commonly admitted for infections (28.0%), observation (22.1%) or musculoskeletal symptoms (16.2%). Some 52.7% of the patients admitted from home were discharged to a higher care level; musculoskeletal problems as admission diagnosis predicted this (RR =1.43, 95% CI 1.20–1.71, adjusted for age and sex).Conclusion: Admission rates to MAU increased during the first years of operation. In the same period, there was a reduction in acute hospital admissions. Patient selection was largely in accordance with national and local criteria, including observational stays. Half the patients admitted from home were discharged to nursing home, suggesting that the unit was used as pathway to a higher municipal care level.Key PointsEvaluation of the first four years of operation of a municipality acute bed unit (MAU) in rural Norway revealed:• Admission rates to MAU increased, timely coinciding with decreased acute admission rates to hospital medical wards.• Most patients were old and had complex health problems.• Only half the patients were discharged back home; musculoskeletal symptoms were associated with discharge to a higher care level." @default.
- W2895711602 created "2018-10-12" @default.
- W2895711602 creator A5000348100 @default.
- W2895711602 creator A5012741473 @default.
- W2895711602 creator A5016243029 @default.
- W2895711602 creator A5029439567 @default.
- W2895711602 creator A5048578440 @default.
- W2895711602 date "2018-10-02" @default.
- W2895711602 modified "2023-09-27" @default.
- W2895711602 title "First four years of operation of a municipal acute bed unit in rural Norway" @default.
- W2895711602 cites W1992026908 @default.
- W2895711602 cites W2000571176 @default.
- W2895711602 cites W2029804197 @default.
- W2895711602 cites W2077679197 @default.
- W2895711602 cites W2083680208 @default.
- W2895711602 cites W2101621927 @default.
- W2895711602 cites W2132298117 @default.
- W2895711602 cites W2395295127 @default.
- W2895711602 cites W2512444759 @default.
- W2895711602 cites W2514047434 @default.
- W2895711602 cites W2566820595 @default.
- W2895711602 cites W2622265055 @default.
- W2895711602 cites W2800819468 @default.
- W2895711602 doi "https://doi.org/10.1080/02813432.2018.1523993" @default.
- W2895711602 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6381517" @default.
- W2895711602 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30289320" @default.
- W2895711602 hasPublicationYear "2018" @default.
- W2895711602 type Work @default.
- W2895711602 sameAs 2895711602 @default.
- W2895711602 citedByCount "5" @default.
- W2895711602 countsByYear W28957116022020 @default.
- W2895711602 countsByYear W28957116022021 @default.
- W2895711602 countsByYear W28957116022022 @default.
- W2895711602 countsByYear W28957116022023 @default.
- W2895711602 crossrefType "journal-article" @default.
- W2895711602 hasAuthorship W2895711602A5000348100 @default.
- W2895711602 hasAuthorship W2895711602A5012741473 @default.
- W2895711602 hasAuthorship W2895711602A5016243029 @default.
- W2895711602 hasAuthorship W2895711602A5029439567 @default.
- W2895711602 hasAuthorship W2895711602A5048578440 @default.
- W2895711602 hasBestOaLocation W28957116021 @default.
- W2895711602 hasConcept C126322002 @default.
- W2895711602 hasConcept C144024400 @default.
- W2895711602 hasConcept C149923435 @default.
- W2895711602 hasConcept C160735492 @default.
- W2895711602 hasConcept C162324750 @default.
- W2895711602 hasConcept C194828623 @default.
- W2895711602 hasConcept C23131810 @default.
- W2895711602 hasConcept C2779159551 @default.
- W2895711602 hasConcept C2780084366 @default.
- W2895711602 hasConcept C2781385661 @default.
- W2895711602 hasConcept C50522688 @default.
- W2895711602 hasConcept C71924100 @default.
- W2895711602 hasConceptScore W2895711602C126322002 @default.
- W2895711602 hasConceptScore W2895711602C144024400 @default.
- W2895711602 hasConceptScore W2895711602C149923435 @default.
- W2895711602 hasConceptScore W2895711602C160735492 @default.
- W2895711602 hasConceptScore W2895711602C162324750 @default.
- W2895711602 hasConceptScore W2895711602C194828623 @default.
- W2895711602 hasConceptScore W2895711602C23131810 @default.
- W2895711602 hasConceptScore W2895711602C2779159551 @default.
- W2895711602 hasConceptScore W2895711602C2780084366 @default.
- W2895711602 hasConceptScore W2895711602C2781385661 @default.
- W2895711602 hasConceptScore W2895711602C50522688 @default.
- W2895711602 hasConceptScore W2895711602C71924100 @default.
- W2895711602 hasFunder F4320312292 @default.
- W2895711602 hasIssue "4" @default.
- W2895711602 hasLocation W28957116021 @default.
- W2895711602 hasLocation W28957116022 @default.
- W2895711602 hasLocation W28957116023 @default.
- W2895711602 hasLocation W28957116024 @default.
- W2895711602 hasLocation W28957116025 @default.
- W2895711602 hasOpenAccess W2895711602 @default.
- W2895711602 hasPrimaryLocation W28957116021 @default.
- W2895711602 hasRelatedWork W1514818506 @default.
- W2895711602 hasRelatedWork W2004487312 @default.
- W2895711602 hasRelatedWork W2106404923 @default.
- W2895711602 hasRelatedWork W2274775098 @default.
- W2895711602 hasRelatedWork W2424358872 @default.
- W2895711602 hasRelatedWork W2765980456 @default.
- W2895711602 hasRelatedWork W2944705384 @default.
- W2895711602 hasRelatedWork W2976382042 @default.
- W2895711602 hasRelatedWork W3024199512 @default.
- W2895711602 hasRelatedWork W4311068385 @default.
- W2895711602 hasVolume "36" @default.
- W2895711602 isParatext "false" @default.
- W2895711602 isRetracted "false" @default.
- W2895711602 magId "2895711602" @default.
- W2895711602 workType "article" @default.