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  • 标题:The role of an intermediate unit in a clinical pathway
  • 本地全文:下载
  • 作者:Anne-Kari Johannessen ; Hilde Lurås ; Sissel Steihaug
  • 期刊名称:International Journal of Integrated Care
  • 电子版ISSN:1568-4156
  • 出版年度:2013
  • 卷号:13
  • 期号:1
  • DOI:10.5334/ijic.859
  • 语种:English
  • 出版社:Utrecht University, Maastricht University, Groningen University
  • 摘要:Introduction: Different care models have been established to achieve more coordinated clinical pathways for older patients in the transition between hospital and home. This study explores an intermediate unit's role in a clinical pathway for older patients with somatic diseases. Theory and methods: Qualitative data was collected via interviews, observations, and a questionnaire. Participants included patients and healthcare providers within both specialist and primary healthcare. Transcripts of interviews and field notes were analyzed using a method of systematic text condensation. Results: Healthcare providers in the hospital, the intermediate unit, and the municipalities have different opinions about who is a "suitable" patient for the unit and what is the proper time for hospital discharge. This results in time- consuming negotiations between the hospital and the unit. Incompatible computer systems increase the healthcare provider's workload. Several informants are doubtful as to whether a stay in the unit is useful to the patients, while the patients are mostly pleased with their stay and the transferral. Conclusion and discussion: This study describes challenges that may occur when a new unit is established in an existing healthcare system in order to achieve an appropriate clinical pathway from hospital to home.
  • 关键词:intermediate unit ; clinical pathways ; older ; qualitative research
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