Helge Garåsen The Trondheim Model - NSDM

(p=0.003), and mean difference in cost per day at risk per patient was EUR 37 (95 % CI 1-71)
(p=0.003).
Results after 12 months
Thirty-five patients, 13 (18.1 %) of all patients included in the intervention group and 22
(31.4 %) in the general hospital group, died within 12 months (p= 0.03). Patients in the
intervention group were observed during a longer period of time than in the general hospital
group; 335.7 (95 % CI 312.0-359.4) versus 292.8 (95 % CI 264.1-321.5) days (p=0.01). There
were statistically no differences in the need for long-term primary level care or in the number
of admissions or days spent in general hospital beds.
Average total health services costs per patient per observed day were EUR 76 (95 % CI 56-
95) for the intervention group and EUR 100 (95 % CI 80-120) for the general hospital group
(p=0.03).
Trial registration
ClinicalTrials.gov NCT00235404
Conclusions Study II
Intermediate care in a community hospital significantly decreased the number of readmissions
for the same disease to general hospital and a significantly higher number of patients were
independent of community care after 26 weeks of follow-up. There was no increase in
mortality and number of days in institutions.
Care at intermediate level in a community hospital was cost effective from a health service
perspective and contributes to better patient outcome as more patients had better functional
status and significantly fewer patients were dead after 12 months follow-up.
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