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Liggetider og reinnleggelser i somatiske sykehus för og etter Samhandlingsreformen
Engelsk titel: Length of stay and readmission in somatic hospitals before and after The Collaboration Reform Läs online Författare: Melberg, Hans Olav ; Hagen, Terje P Språk: Nor Antal referenser: 23 Dokumenttyp: Artikel UI-nummer: 16103327

Tidskrift

Tidsskrift for Omsorgsforskning 2016;2(2)143-58 ISSN 2387-5984 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

The Cooperation Reform, implemented from 1st January 2012, included among other things a municipal daily fee for patients staying in hospitals following the day they were defined as ready for discharge. The research questions are whether implementing the fee was associated with reduction in length of stay and increased acute 30 days readmissions rates for the relevant patient groups. The results indicate that the implementation of the Cooperation Reform was associated with a reduction of length of stay of 0.1 day. We analyzed four patient groups in details; patients with hip fracture, stroke, heart failure and COPD. For patients classified as ready for discharge and consequently were in need of municipal services, the observed reductions were larger, for example 4-6 days for patients hospitalized with stroke or hip fracture. Readmission rates increased with age and comorbidities. Patents classified as ready for discharge had higher readmission rates than those that were not. There was an increase in readmission rates of 1-2 percentages in the period we analyzed but there were no significant changes in readmission rates that were associated with the implementation of the Cooperation reform for any of the analyzed groups. There were however differences both between health enterprises and municipalities. Our interpretation is that the municipalities generally managed to handle the increased care burden that followed from the Cooperation Reform.