Förte opprettelsen av kommunale öyeblikkelig hjelp dögnenheter til faerre innleggelser for eldre
pasienter ved somatiske sykehus?
Engelsk titel: Did the establishment of municipal acute bed units lead to fewer hospitalizations for senior
patients in somatic hospitals?
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Författare:
Swanson, Jayson
;
Alexandersen, Nina
;
Hagen, Terje P
Email: t.p.hagen@medisin.uio.no
Språk: Nor
Antal referenser: 32
Dokumenttyp:
Artikel
UI-nummer: 16103325
Sammanfattning
The aim of the introduction of the municipal emergency care units (MEUs) was to reduce
hospitalizations, particularly for the elderly. We analyzed whether implementation of MEUs had the
desired effect. Data on hospitalizations was acquired from the Norwegian patient register and data on
demographic variables and municipal health and care services were acquired from Statistics Norway.
We collected data about when MEU implementation occurred from the municipalities. Data were
analyzed as a panel with fixed effects for municipalities. The conclusions are that the introduction of
MEUs had the intended effects, but that the effects varied significantly depending upon how MEUs
were organized. On average, the association between the implementation of the MEUs and
hospitalizations for patients over 80 years was barely (minus) 2%. MEUs that affected hospitalization
rates were those co-located with outpatient emergency services or those which had a physician on
duty 24/7. Other types of organizational structure had no effects on average. The effects of the
implementation of MEUs were significant only for municipalities with more than 5000 inhabitants.