Acute Admission to Hallingdal Sjukestugu. Can Acute Admissions to a Community Hospital be a Realistic Alternative to General Hospital Admissions?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 140
- 试验地点
- 2
- 主要终点
- A triangulation of patient health consequences, patients' perceived quality and a health economy analyses.
研究概览
简要总结
The main objective of the project is to assess whether a community hospital may have or should have a role in the Norwegian health care system in the acute treatment of a defined group of patients.
详细描述
The research project's objective is to analyze whether acute admissions to Hallingdal sjukestugu (HSS) is a real alternative to hospitalization in a general hospital.
HSS is a community hospital and a department under Ringerike General Hospital (RS) and is located in Hallingdal 170 km from the RS. It is an established practice that the general practitioners in Hallingdal send selected patients in need for acute treatment to HSS in place of RS. In 2008 this accounted for 10.1% of the total number of acute inpatients from the six municipalities of Hallingdal.
The research program includes a prospective, randomized study in which all patients intended for acute inpatient at HSS are distributed randomly into two groups, an intervention group who is admitted to HSS, and a control group who is sent to RS. A minimum of 70 patients are included in each group.
The patients are going to be followed through one year after the hospital stay and all contacts with the specialist health services and the municipal health care services will be registered. There will also be collected data on the patients' functioning level and the patients' opinion about quality of the hospital stay. Through standardized questionnaire the involved health professional will be asked about their reviews.
Three studies will analyze the patients' progress, economics and quality in the two groups. The three studies will together constitute a doctoral thesis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who by the general practitioner are intended for acute admission to HSS and where the specialist on call at RS approves such admissions.
- •Patients residing in Hallingdal municipalities.
排除标准
- •Patients with injuries and acute and/or unclear illnesses in need of diagnosis, treatment or monitoring in an acute hospital.
- •Urgent births at HSS.
- •Acute psychiatric admissions to hospital.
- •Patients with serious mental disorders.
- •Patients who during the follow-up year move to a municipality outside of Hallingdal.
结局指标
主要结局
A triangulation of patient health consequences, patients' perceived quality and a health economy analyses.
时间窗: One year
次要结局
- All contacts with the specialist health services and the municipal health care services will be registered.(One year)
研究者
Oystein Lappegard
Forsker
Helse Sor-Ost