Helge GarÃ¥sen The Trondheim Model - NSDM

More documents

Recommendations

Info

292,8 (95 % CI 264,1-321,5) dager (p=0,01). Det var ingen statistiske forskjeller i behovet for kommunal langtidsomsorg, antall sykehusinnleggelse eller dager i sykehus mellom gruppene. Gjennomsnittlige behandlings- og omsorgskostnader per pasient og observasjonsdag var NOK 606 (95 % CI 450-761) i intervensjonsgruppen sammenlignet med NOK 802 (95 % CI 641-962) i sykehusgruppen (p=0,03). Konklusjon studie II Sluttbehandling på intermediært nivå i et sykehjem medførte færre reinnleggelser, at flere pasienter klarte seg selv uten kommunale omsorgstjenester og lavere mortalitet. Samtidig var behandlingstilbudet kostnadseffektivt. 12
Acknowledgments These studies were given financial support, in the form of grants, from The Norwegian Association of Local and Regional Authorities (KS) and from Central Norway Regional Health Authority. The Municipality of Trondheim and St. Olavs University Hospital supported the study at Søbstad Teaching Nursing Home by allocating resources to the Intermediate ward in the Nursing Home. I believe that the close cooperation between the primary care service in the Municipality of Trondheim and the specialist care at St. Olavs University Hospital is the most important factor for the success of the intermediate department and to the possible success of my work. Roar Johnsen is the principle tutor for the work presented in this thesis, and he is also responsible for introducing me to the field of academic evaluation of health services. Roar has given me optimal personal and scientific support from well before the start and until the completion of this thesis. A special thank you to Tor Åm, Chief Executive Officer in the Municipality of Trondheim, who introduced me to public health in a larger Norwegian society, and has given me generous opportunities to do research and to develop my own ideas within the health care services in the municipality of Trondheim. The most critical part of the trial at Søbstad Teaching Nursing Home was to recruit patients and collect exact information from and about the participants of the study. I want to express my gratitude for the excellent and accurate work done by all the staff at Søbstad. I also want to express my gratitude to Lisbeth Kystad and Jorunn Mediås who managed to establish the intermediate department, put in place all the necessary procedures, do all the training programmes and to inspire, with the manager of Søbstad Birgit Reisch, all the employees in an incredibly short period of three months in the autumn of 2002. This thesis has been made more readable due to the efforts of Linda J. Allan Blekkan who has tried to lead me through the subtleties of the English language. 13
Page 1 and 2: Helge Garåsen The Trondheim Model
Page 3 and 4: Trondheimsmodellen Forbedring av ko
Page 5 and 6: Table of content Summary...........
Page 7 and 8: Summary Study I Background Optimal
Page 9 and 10: (p=0.003), and mean difference in c
Page 11: Studie II Bakgrunn Formålet med st
Page 15 and 16: List of papers The thesis is based
Page 17 and 18: 1.0 Introduction 1.1 Are older pati
Page 19 and 20: documented the benefits of using mu
Page 21 and 22: When composing an expert panel, it
Page 23 and 24: 1.8 Are there any alternatives to g
Page 25 and 26: In the publication Scenario 2030 th
Page 27 and 28: trust between the patient and healt
Page 29 and 30: structured communication formulas (
Page 31 and 32: predicted increases in per capita h
Page 33 and 34: A study in Denmark has shown that a
Page 35 and 36: general hospital care. One of the c
Page 37 and 38: the municipalities of Trondheim and
Page 39 and 40: As the study in question dealt with
Page 41 and 42: quality of life and/or life expecta
Page 43 and 44: 4.2.0 Study population Study II - I
Page 45 and 46: All data was collected by the autho
Page 47 and 48: An important task was to write disc
Page 49 and 50: to the community health system, and
Page 51 and 52: to information about the health car
Page 53 and 54: 2004 and 2005. This solution was us
Page 55 and 56: 100 % said they were treated with r
Page 57 and 58: compared between groups using covar
Page 59 and 60: care and need for long-term nursing
Page 61 and 62: 6.1 Study I - the panel study 6.1.1
Page 63 and 64:
e difficult for only one profession
Page 65 and 66:
there were eleven cases with zero a
Page 67 and 68:
trial. Participating departments at
Page 69 and 70:
circumstances, successful diagnoses
Page 71 and 72:
6.4 Costs 6.4.1. Cost assessments E
Page 73 and 74:
workers, physiotherapists, occupati
Page 75 and 76:
The good results shown in several s
Page 77 and 78:
6.8 Discussion of the results 6.8.1
Page 79 and 80:
to be increased with more than 99 %
Page 81 and 82:
In study I all patient data was han
Page 83 and 84:
Main conclusions study II: 1. Care
Page 85 and 86:
12. Slaets JP, Kaufmann RH, Duivnvo
Page 87 and 88:
40. Jakobsen G. Specialised palliat
Page 89 and 90:
69. Ramrakha S, Giles A: Take a let
Page 91 and 92:
98. Kvamme OJ. Samarbeid mellom leg
Page 93 and 94:
127. Krummenauer F. Differenzenplot
Page 95 and 96:
157. Kaplan RM. The significance of
Page 97 and 98:
10.0. Appendices 10.1 VAS for refer
Page 99 and 100:
10.2 VAS for discharge letters. Stu
Page 101 and 102:
10.3 Criteria for inclusion. Study
Page 103 and 104:
10.4 Procedures for including patie
Page 105 and 106:
Behov for følge av sykepleier / hj
Page 107 and 108:
10.6 Consent formula. Study II SAMT
Page 109 and 110:
Recruitment 14 Dates defining the p
Page 111 and 112:
Personlig hygiene Ja Av og til Nei
Page 113 and 114:
eller andre steder der personen van
Page 115 and 116:
Ikke med i pleietyngdegrunnlaget i
Page 117 and 118:
Tjenester IPLOS Lov om sosiale tjen
Page 119:
11.0 Original papers I-IV 119
Page 123 and 124:
BMC Health Services Research BioMed
Page 125 and 126:
BMC Health Services Research 2007,
Page 127 and 128:
Page 129:
Page 133 and 134:
BMC Public Health BioMed Central Re
Page 135 and 136:
BMC Public Health 2007, 7:68 http:/
Page 137 and 138:
Page 139 and 140:
Page 141:
Page 145 and 146:
Medisin og vitenskap Originalartikk
Page 147:
Originalartikkel MEDISIN OG VITENSK
Page 151 and 152:
Scandinavian Journal of Public Heal
Page 153 and 154:
Dissertations at the Faculty of Med
Page 155 and 156:
68. Trond Sand: THE EFFECTS OF CLIC
Page 157 and 158:
139. Fabio Antonaci: CHRONIC PAROXY
Page 159 and 160:
198. Nanna Kurtze: THE SIGNIFICANCE
Page 161 and 162:
251. Aslak Steinsbekk: HOMEOPATHY I
Page 163 and 164:
305. Elisabeth Olstad: GLUTAMATE AN
show all

Helge GarÃ¥sen The Trondheim Model - NSDM

Create successful ePaper yourself

Delete template?

Save as template?