Does a community based recovery service reduce inpatient bed days?

Abstract

<jats:sec><jats:title>Objective:</jats:title><jats:p> Increasing options for the delivery of community-based care may be one way to reduce inpatient bed pressures. This study set out to examine the effect of community-based step up/step down (SUSD) care on hospital usage for service users with multi-service usage. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> A retrospective audit was undertaken of the medical records of all individuals admitted to a SUSD unit over a 2-year period, calculating inpatient bed days for the 12 months prior to, and the 12 months after, the SUSD admission. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> There was a statistically nonsignificant decrease in bed days in the 12 months following admission. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> It is possible that inpatient bed day reduction may not be an appropriate outcome measure for a service built on principles of personal recovery. How to translate recovery-outcomes to justifiable financial benefits for services requires further consideration and alignment of values with reporting measures. </jats:p></jats:sec>

Effects of spatial accessibility of community health services on the activities of daily living among older adults in China: a propensity score matching study

“…Some scholars have analyzed the impact of community health services on human health. The identified beneficial effects could be divided into two aspects: On the one hand, it helps to improve physical health, such as reducing the time patients spend in bed ( 55 ), alleviating joint pain ( 56 ); On the other hand, it may improve the mental health of the public, especially the older group ( 43 , 44 ). Consistent with the views of these scholars, this study also believes that community health services can effectively improve the health status of older adults.…”