Acute Admission to Hallingdal Sjukestugu
The main objective of the project is to assess whether a community hospital may have or should have a role in the Norwegian health care system in the acute treatment of a defined group of patients.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Acute Admission to Hallingdal Sjukestugu. Can Acute Admissions to a Community Hospital be a Realistic Alternative to General Hospital Admissions?|
- The primary outcome is the difference in readmissions to RS and HSS in the intervention group (patient admitted to HSS) as compared to that of the reference group (patients admitted to RS). [ Time Frame: One year ] [ Designated as safety issue: No ]
- All contacts with the specialist health services and the municipal health care services will be registered. [ Time Frame: One year ] [ Designated as safety issue: No ]
|Study Start Date:||April 2010|
|Estimated Study Completion Date:||June 2015|
|Estimated Primary Completion Date:||September 2013 (Final data collection date for primary outcome measure)|
Active Comparator: Consume of health services
One year follow-up of patients randomized to two different levels of health care
Other: Cottage Hospital Care
Care at a cottage hospital compared with care at a general hospital
The research project's objective is to analyze whether acute admissions to Hallingdal sjukestugu (HSS) is a real alternative to hospitalization in a general hospital.
HSS is a community hospital and a department under Ringerike General Hospital (RS) and is located in Hallingdal 170 km from the RS. It is an established practice that the general practitioners in Hallingdal send selected patients in need for acute treatment to HSS in place of RS. In 2008 this accounted for 10.1% of the total number of acute inpatients from the six municipalities of Hallingdal.
The research program includes a prospective, randomized study in which all patients intended for acute inpatient at HSS are distributed randomly into two groups, an intervention group who is admitted to HSS, and a control group who is sent to RS. A minimum of 70 patients are included in each group.
The patients are going to be followed through one year after the hospital stay and all contacts with the specialist health services and the municipal health care services will be registered. There will also be collected data on the patients' functioning level and the patients' opinion about quality of the hospital stay. Through standardized questionnaire the involved health professional will be asked about their reviews.
Three studies will analyze the patients' progress, economics and quality in the two groups. The three studies will together constitute a doctoral thesis.
The research project will provide a better basis for assessing the role of local medical centers in the Norwegian health care in the acute treatment of a defined group of patients.
|Ål, Buskerud, Norway, 3570|
|Study Director:||Per Hjortdahl, Prof.||Institute of General Practice and Community Medicine , University of Oslo|