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dc.contributor.authorGautun, Heidi
dc.contributor.authorSyse, Astri
dc.date.accessioned2018-01-11T10:38:58Z
dc.date.accessioned2018-03-14T08:23:41Z
dc.date.available2018-01-11T10:38:58Z
dc.date.available2018-03-14T08:23:41Z
dc.date.issued2017
dc.identifier.citationGautun H, Syse A. Earlier hospital discharge: a challenge for Norwegian municipalities. Nordic Journal of Social Research. 2017;8en
dc.identifier.issn1892-2783
dc.identifier.urihttps://hdl.handle.net/10642/5752
dc.description.abstractAim: In order to improve patient outcomes and minimize health care costs, many Western countries are attempting to reduce the length of stay in hospitals by transferring responsibilities from specialist care to primary care. In Norway, the Coordination Reform was implemented in 2012 to enhance this development. As a result, the number of patients discharged to the municipal health care services has increased significantly. We investigate the extent to which nurses in nursing homes and home care services feel equipped to provide adequate care for patients discharged from hospitals after the reform. Data: Altogether, 1,938 nurses representing around 80% of Norwegian municipalities assessed their experiences of this reform. Results: An increase in the number of poorly functioning patients discharged to the municipality services was reported. Regardless of place of work, concerns were raised about limited resources in terms of personnel, equipment and competence, as well as an increase in hospital readmission rates. Negative reports on care provision for recently discharged patients came most frequently from nurses in municipalities which generally had low incomes, diverted limited resources to the health care sector and relied heavily on home-based care. Conclusion: Insufficient transfer of resources to the home care services may have hampered the ability to fulfil the Coordination Reform’s intentions of providing safe care to patients in their own homes as an alternative to prolonged hospital stays. Due to a marked increase in reported hospital readmissions, it is not obvious that shorter lengths of stays have reduced overall health care costs.en
dc.language.isoenen
dc.publisherInland Norway University of Applied Sciences (INN University)en
dc.rightsCopyright (c) 2017 Heidi Gautun, Astri Syse Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCoordination Reformen
dc.subjectHospitalen
dc.subjectLength of stayen
dc.subjectLocal care servicesen
dc.subjectPatient flowen
dc.subjectMunicipal variationsen
dc.titleEarlier hospital discharge: a challenge for Norwegian municipalitiesen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2018-01-11T10:38:58Z
dc.description.versionpublishedVersionen
dc.identifier.doihttp://dx.doi.org/10.7577/njsr.2204
dc.identifier.cristin1481551
dc.source.journalNordic Journal of Social Research
dc.relation.projectIDNorges forskningsråd: 256644
dc.relation.projectIDNorges forskningsråd: 256644/H10


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Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Med mindre annet er angitt, så er denne innførselen lisensiert som Copyright (c) 2017 Heidi Gautun, Astri Syse Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.