The Coordination reform was implemented in Norway from 2012, aiming at seamless patient trajectories. All municipalities are required to establish emergency care beds (MEBs) to avoid unnecessary hospital admissions. We aimed to examine occupancy rate, patient characteristics, diagnoses and discharge level of municipal care in a small MEB unit.
Cross-sectional, observational study.
A two-bed emergency care unit.
All patients admitted to the unit during one year.
Patients' age and gender, comorbidity, main diagnoses and municipal care level on admission and discharge, diagnostic and therapeutic initiatives, occupancy rate.
Sixty admissions were registered, with total bed occupancy 194 days, and an occupancy rate of 0.27. The patients (median age 83 years, 57% women) had mostly infections, musculoskeletal symptoms or undefined conditions. Some 48% of the stays exceeded three days and 43% of the patients were subsequently transferred to nursing homes or hospitals.
Occupancy rate was low. Patient selection was not according to national standards, and stays were longer. Many patients were transferred to nursing homes, indicating that the unit was an intermediate pathway or a short cut to institutional care. It is unclear whether the unit avoided hospital admissions.
Notes
Cites: Scand J Prim Health Care. 2016 Sep;34(3):317-24 PMID 27559763
Cites: BMC Fam Pract. 2014 Dec 10;15:198 PMID 25491726
Cites: BMC Fam Pract. 2013 Jun 22;14:87 PMID 23800090
Cites: Scand J Public Health. 2009 May;37(3):223-6 PMID 19406855
Cites: CMAJ. 2009 Jan 20;180(2):175-82 PMID 19153394
Cites: J Am Geriatr Soc. 2002 May;50(5):792-8 PMID 12028163
Cites: Scand J Prim Health Care. 2015 Jun;33(2):121-6 PMID 26158584
Cites: Aust N Z J Med. 2000 Apr;30(2):252-60 PMID 10833119
Cites: Br J Gen Pract. 2001 Feb;51(463):95-100 PMID 11217640