Programme no. 256-P
Public Health
GP staffed community hospital beds in Bergen: An observational study
Kristian Anton Simonsen*1, Terese Folgerø2, Sabine Ruths3, Birger N. Lærum4, Heidi Nilsen5, Geir Egil Eide6, Guri Rortveit7
1Department of Global Public Health and Primary Care, University of Bergen,Research Group for General Practice,Bergen,Norway;Uni Research Health,Research Unit for General Practice,Bergen,Norway, 2Municipality of Bergen,Bergen,Norway, 3Department of Global Public Health and Primary Care, University of Bergen,Research Group for General Practice,Bergen,Norway;Uni Research Health,Research Unit for General Practice,Bergen,Norway, 4Department of Clinical Science,Haukeland University Hospital,Bergen,Norway, 5Uni Research Health,Research Unit for General Practice,Bergen,Norway, 6Department of Global Public Health and Primary Care, University of Bergen,Research Group for lifestyle epidemiology,Bergen,Norway;Centre of Clinical Research,Haukeland University Hospital,Bergen,Norway, 7Department of Global Public Health and Primary Care, University of Bergen,Research Group for General Practice,Bergen,Norway;Uni Research Health,Research Unit for General Practice,Bergen,Norway
* = Presenting author
Objectives: This study aims to describe clinical characteristics and demographics in patients presenting to a primary care doctor who are eligible for admission to a community hospital bed as an alternative to acute hospital admission.
Background: A key objective of the Coordination Reform in Norway is to improve patient care and to provide health care services closer to where the patient lives. All municipalities in Norway are obliged to provide GP staffed community hospital beds by 2016. The intention is to reduce acute hospital admissions, and the presumption is that community hospital beds will be equal to or better than hospitalization for some patients. Although already politically decided, the scientific literature is scarce. This study aims to identify the number of patients who may be candidates for a community hospital stay and their medical and care needs.
Results: Results will be presented at the congress.
Material/Methods: All primary care doctors working in general practice, out-of hours services and nursing homes in the municipality of Bergen will be invited to participate in the study. Eligible cases are patients >18 years of age where the doctor’s assessment after the consultation is that i) admission to community hospital would have been desirable if it existed today, ii) the patient is acutely referred to hospital, or iii) a reinforcement of community care services or an application for an intermediate stay in nursing home is needed. Patients will be enrolled for a period of one week, scheduled in the first quarter of 2015.
Conclusion: Consclusion will be presented at the congress
Points for discussion: Points for discussion will be presented at the congress