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
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Författare:
Melberg, Hans Olav
;
Hagen, Terje P
Språk: Nor
Antal referenser: 23
Dokumenttyp:
Artikel
UI-nummer: 16103327
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.