Acute Admission to Hallingdal Sjukestugu

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborators:
Ringerike sykehus, Vestre Viken HF
University of Oslo
Norwegian University of Science and Technology
Information provided by (Responsible Party):
Oystein Lappegard, Helse Sor-Ost
ClinicalTrials.gov Identifier:
NCT01069107
First received: February 4, 2010
Last updated: September 28, 2012
Last verified: September 2012
  Purpose

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.


Condition Intervention
Morbidity
Health Economy
Quality
Other: Cottage Hospital Care

Study Type: Interventional
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?

Further study details as provided by Helse Sor-Ost:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • 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 ]

Estimated Enrollment: 140
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)
Arms Assigned Interventions
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

Detailed Description:

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.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who by the general practitioner are intended for acute admission to HSS and where the specialist on call at RS approves such admissions.
  • Patients residing in Hallingdal municipalities.

Exclusion Criteria:

  • Patients with injuries and acute and/or unclear illnesses in need of diagnosis, treatment or monitoring in an acute hospital.
  • Urgent births at HSS.
  • Acute psychiatric admissions to hospital.
  • Patients with serious mental disorders.
  • Patients who during the follow-up year move to a municipality outside of Hallingdal.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01069107

Locations
Norway
Hallingdal sjukestugu
Ål, Buskerud, Norway, 3570
Sponsors and Collaborators
Helse Sor-Ost
Ringerike sykehus, Vestre Viken HF
University of Oslo
Norwegian University of Science and Technology
Investigators
Study Director: Per Hjortdahl, Prof. Institute of General Practice and Community Medicine , University of Oslo
  More Information

Additional Information:
No publications provided

Responsible Party: Oystein Lappegard, Forsker, Helse Sor-Ost
ClinicalTrials.gov Identifier: NCT01069107     History of Changes
Other Study ID Numbers: 09-1300 REK, 20100101
Study First Received: February 4, 2010
Last Updated: September 28, 2012
Health Authority: Norway:National Committee for Medical and Health Research Ethics

Keywords provided by Helse Sor-Ost:
community hospital
alternative acute admissions

ClinicalTrials.gov processed this record on August 28, 2014