The rise in acute medical admissions

Hider, Phil; O’Hagan, Justin; Bidwell, Susan; Kirk, R.

doi:10.1111/j.1445-5994.2000.tb00816.x

Cited by 13 publications

(10 citation statements)

References 46 publications

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“…In recent decades, there has been a shift from hospitalisation to home care throughout the Western world, even for people suffering from complex medical conditions (1). One reason to reorganise healthcare services, as seen in Norway and other countries, is to achieve more costeffective solutions and relieve the burden on hospital care (2)(3)(4). Key objectives for Norwegian health care are to become a sustainable, integrated service with good quality and care adapted to the individual patient, regardless of illness or age (4).…”

Section: Introductionmentioning

confidence: 99%

Being in control and striving for normalisation: A Norwegian pilot study on parents’ perceptions of hospital‐at‐home

Aasen

Ponton

Johannessen

2018

Scandinavian Caring Sciences

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In recent decades, there has been a shift from hospitalisation to home care throughout the Western world, even for children. Hospital-at-home for children is in a developmental phase and represents a new service model in Norway. The aim of this pilot study conducted in a Norwegian healthcare setting was to explore how parents with a sick child experienced early hospital discharge and further care at home. The qualitative data are drawn from nine interviews with parents with a child admitted to hospital-at-home. Transcripts of interviews were analysed using a method of qualitative content analysis. In the analysis, Antonovsky's salutogenic perspective on how people cope in demanding life situations was applied. The results show that the parents experienced hospital-at-home as providing a calmer, more predictable family life compared to hospitalisation. They argued that good information and training in medical procedures prior to hospital discharge made hospital-at-home easier to master. The participants pointed out the importance of the professionals' competence and their ability to interact with the child and the parent. The certitude that they could return to the hospital at any time made them feel safe and in control. The parents associated hospital-at-home with a kind of normalisation of their family life. They had a prominent need for normalisation, and this was probably a motivation for agreeing to the hospital-at-home arrangement. The findings indicate that hospital-at-home for children is a good solution if the parents are well prepared and feel in control. In addition, certain structural conditions must be in place before this type of health care is established; there must be a certain volume of patients and the distance to the hospital must be clearly limited. Norwegian policymakers should initiate more pilot testing of hospital-at-home for children. Users and clinicians should be involved in establishing and evaluating these services.

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Section: Introductionmentioning

confidence: 99%

Being in control and striving for normalisation: A Norwegian pilot study on parents’ perceptions of hospital‐at‐home

Aasen

Ponton

Johannessen

2018

Scandinavian Caring Sciences

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“…Bed numbers: In Australia, the total number of acute hospital beds has decreased over the past two decades, with a 15% decrease in public hospital beds occurring from 1995 to 2000 6 . There have been concomitant decreases in inpatient length of stay, but the number of hospital admissions have also increased 7 . There are now more day procedures and day admissions.…”

Section: Causes Of Access Blockmentioning

confidence: 99%

“…Social changes: The demise of the extended family and changes in the demographics of marriage and childbearing have led to more elderly people living alone, and with greater feminisation of the workforce fewer people can be carers 7 , 12 . Population projections indicate that the number of informal carers in the community (largely middle‐aged women) will decline sharply as the baby boomers age and require care themselves.…”

Section: Causes Of Access Blockmentioning

confidence: 99%

Access block: problems and progress

Cameron

Campbell

2003

Medical Journal of Australia

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“…6 There have been concomitant decreases in inpatient length of stay, but the number of hospital admissions have also increased. 7 There are now more day procedures and day admissions. Although some of these replace multiday stays, others represent new work or multiple admissions replacing a multiday, single admission.…”

Section: Causes Of Access Blockmentioning

confidence: 99%

“…Social changes: The demise of the extended family and changes in the demographics of marriage and childbearing have led to more elderly people living alone, and with greater feminisation of the workforce fewer people can be carers. 7,12 Population projections indicate that the number of informal carers in the community (largely middle-aged women) will decline sharply as the baby boomers age and require care themselves. The default solution for many partially dependent people is referral to an acute hospital.…”

Section: Causes Of Access Blockmentioning

confidence: 99%

Is There a Future for Emergency Medicine?

Cameron

2003

Hong Kong Journal of Emergency Medicine

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The rise in acute medical admissions

Cited by 13 publications

References 46 publications

Being in control and striving for normalisation: A Norwegian pilot study on parents’ perceptions of hospital‐at‐home

Being in control and striving for normalisation: A Norwegian pilot study on parents’ perceptions of hospital‐at‐home

Access block: problems and progress

Is There a Future for Emergency Medicine?

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