The Finnmark general practitioner hospital study:<i>Patient characteristics, patient flow and alternative care level</i>

Aaraas, Ivar J.

doi:10.3109/02813439508996771

Cited by 13 publications

(14 citation statements)

References 2 publications

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“…In order to determine whether GP hospitals may indeed provide a viable alternative to conventional care from the patients' perspective, further study is needed with larger patient groups and with more suitable questionnaires. Our data show a number of similarities with some GP hospital surveys from the United Kingdom and Norway (2,6,16). With a focus on observation and low care, the GP hospitals are usually nurse-led, have access to their own diagnostic facilities and to paramedical and specialist care from outpatient clinics in the same hospital location.…”

Section: Discussionsupporting

confidence: 57%

“…1. The health-related quality-of-life scores 1 of patients in the three bed categories on admission (GP, RH and NH patients) 2,3 and two reference groups (chronically ill patients and healthy subjects) 4 . 1 For readability, standard deviations (SD) are not represented in this figure.…”

Section: Resultsmentioning

confidence: 99%

“…SDs vary from 17 to 47 for GP patients, from 25 to 48 for RH patients, from 5 to 39 for NH patients, from 20 to 44 for chronically ill subjects and from 18 to 32 for healthy subjects. 2 Abbreviations: GP0/general practitioner; RH 0/rehabilitation; NH0/nursing home; RP0/physical role functioning; PF0/physical functioning; VT0/vitality; SF0/social functioning; GH0/general health; RE0/emotional role functioning; BP 0/bodily pain; MH0/ mental health. 3 Sample sizes vary from 50 to 68 for GP patients, from 19 to 23 for RH patients and 16 to 17 for NH patients due to missing values.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The first general practitioner hospital in The Netherlands: towards a new form of integrated care?

Charante

Hartman

Yzermans

et al. 2004

Scandinavian Journal of Primary Health Care

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Section: Discussionsupporting

confidence: 57%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The first general practitioner hospital in The Netherlands: towards a new form of integrated care?

Charante

Hartman

Yzermans

et al. 2004

Scandinavian Journal of Primary Health Care

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“…6 Introduction of a earmarked grant from the Norwegian central government to the municipalities in 2012, aimed at stimulating investments in MAUs, led to a rapid increase in the number of units. By the end of 2014, the first MAUs in the recent wave had been in operation for 2½ years, and just over half of the municipalities, representing 64.8% of the population, were covered by MAUs.…”

Section: Introductionmentioning

confidence: 99%

Reinventing the community hospital: a retrospective population-based cohort study of a natural experiment using register data

Swanson

Hagen

2016

BMJ Open

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ObjectivesTo investigate whether implementation of municipal acute bed units (MAUs) resulting from the Norwegian Coordination Reform (2012) was associated with reductions in hospital admissions, particularly for the elderly.DesignA municipality-based retrospective comparative cohort study using monthly population-based registry data analysed with fixed-effects log–log regressions.SettingNorwegian municipalities and hospitals.PopulationAll patients admitted to secondary hospital care in Norway between 2010 and 2014, excluding psychiatric admissions, with additional focus on admission type and elderly age subgroups.Main outcome measuresMonthly admission rates in total and by age group for all patients, patients admitted with acute conditions and with acute conditions at internal medicine departments.ResultsThe introduction of MAUs was associated with a small yet significant overall negative effect on hospital admissions. The reduction in all admissions was significant for the entire population (−1.2%, 95% CI −2.0% to −0.0%) and slightly stronger for those aged 80 years and above (−1.9%, 95% CI −3.0% to −1.0%). The more detailed analysis of the elderly population aged 80 years and above revealed that effects were affected by the institutional characteristics of the MAUs. The significant effects ranged between −1.6% and −8.6%, depending on the availability of physicians on duty at the MAUs, the MAUs location or combinations thereof.ConclusionsIntroduction of MAUs following implementation of the Norwegian Coordination Reform in 2012 was associated with a significant reduction in hospital admissions primarily for the elderly. Our findings suggest that this type of intermediate care is a viable option in an effort to alleviate the burden on hospitals by reducing the acute secondary care admission volume. Further examinations focused on cost-effectiveness, health status of patients, number of patients treated at the MAUs and comparing other intermediate care alternatives would all add important perspectives to the issue.

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“…In a previous study from Finnmark in north Norway it was estimated that 45% of the patients in the GP hospitals would have been admitted to general hospitals if the GP hospitals had not been available. 1 It was also observed that patients transferred from general hospitals to GP hospitals for follow up care had the longest stays in the GP hospitals. Based on these findings it seems reasonable to anticipate that hospital admission rates are lower and that length of stay are shorter for populations with access to GP hospitals than for those without.…”

mentioning

confidence: 99%

Do general practitioner hospitals reduce the utilisation of general hospital beds? Evidence from Finnmark county in north Norway

Aaraas

Førde

Kristiansen

et al. 1998

Journal of Epidemiology & Community Health

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Study objective-To assess whether populations with access to general practitioner hospitals (GP hospitals) utilise general hospitals less than populations without such access. Design-Observational study comparing the total rates of admissions and of occupied bed days in general hospitals between populations with and without access to GP hospitals. Comparisons were also made separately for diagnoses commonly encountered in GP hospitals. Setting-Two general hospitals serving the population of Finnmark county in north Norway. Patients-35 435 admissions based on five years' routine recordings from the two hospitals.Main results-The total rate of admission to general hospitals was lower in peripheral municipalities with a GP hospital than in central municipalities without this kind of institution, 26% and 28% lower for men and women respectively. The corresponding diVerences were 38% and 52%, when analysed for occupied bed days. The diVerences were most pronounced for patients with respiratory diseases, cardiac failure, and cancer who are primarily or intermediately treated or cared for in GP hospitals, and for patients with stroke and fractures, who are regularly transferred from general hospitals to GP hospitals for longer term follow up care. Conclusion-GP hospitals seem to reduce the utilisation of general hospitals with respect to admissions as well as occupied bed days. (J Epidemiol Community Health 1998;52:243-246) In Norway, general practitioner hospitals (GP hospitals) are small medical institutions on a level between primary care and general hospitals. They contain from two to around 20 beds and are usually located together with the GPs' surgery and the local nursing home in a joint facility. It is still questioned whether these institutions, as intended, relieve the pressure on general hospitals. In a previous study from Finnmark in north Norway it was estimated that 45% of the patients in the GP hospitals would have been admitted to general hospitals if the GP hospitals had not been available.1 It was also observed that patients transferred from general hospitals to GP hospitals for follow up care had the longest stays in the GP hospitals. Based on these findings it seems reasonable to anticipate that hospital admission rates are lower and that length of stay are shorter for populations with access to GP hospitals than for those without. An eight week survey indicated that this was the case particularly for conditions commonly cared for in GP hospitals.2 To explore this issue further, we have studied general hospital utilisation for a longer period in the same geographical area. The county of Finnmark is well suited for such a study because it still has 16 GP hospitals in active use and because 90% of GP hospital patients referred to higher level hospitals are admitted to the two county general hospitals. 2The aim of the study was to assess whether populations with access to a GP hospital utilise general hospital beds at a lower rate than populations without such access, particularly with respe...

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The Finnmark general practitioner hospital study:Patient characteristics, patient flow and alternative care level

Cited by 13 publications

References 2 publications

The first general practitioner hospital in The Netherlands: towards a new form of integrated care?

The first general practitioner hospital in The Netherlands: towards a new form of integrated care?

Reinventing the community hospital: a retrospective population-based cohort study of a natural experiment using register data

Do general practitioner hospitals reduce the utilisation of general hospital beds? Evidence from Finnmark county in north Norway

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