Morbidity Clinical Trial
Official title:
Acute Admission to Hallingdal Sjukestugu. Can Acute Admissions to a Community Hospital be a Realistic Alternative to General Hospital Admissions?
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.
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.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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