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Acute Admission to Hallingdal Sjukestugu

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ClinicalTrials.gov Identifier: NCT01069107
Recruitment Status : Completed
First Posted : February 17, 2010
Last Update Posted : February 19, 2016
Sponsor:
Collaborators:
Ringerike sykehus, Vestre Viken HF
University of Oslo
Norwegian University of Science and Technology
Information provided by (Responsible Party):
Oystein Lappegard, Helse Sor-Ost

Brief Summary:
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.

Condition or disease Intervention/treatment
Morbidity Health Economy Quality Other: Cottage Hospital Care

Detailed Description:

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.


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 140 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Acute Admission to Hallingdal Sjukestugu. Can Acute Admissions to a Community Hospital be a Realistic Alternative to General Hospital Admissions?
Study Start Date : April 2010
Primary Completion Date : April 2013
Study Completion Date : September 2015

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Consume of health services
One year follow-up of patients randomized to two different levels of health care
Other: Cottage Hospital Care
Care at a cottage hospital compared with care at a general hospital



Primary Outcome Measures :
  1. A triangulation of patient health consequences, patients' perceived quality and a health economy analyses. [ Time Frame: One year ]

Secondary Outcome Measures :
  1. All contacts with the specialist health services and the municipal health care services will be registered. [ Time Frame: One year ]


Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who by the general practitioner are intended for acute admission to HSS and where the specialist on call at RS approves such admissions.
  • Patients residing in Hallingdal municipalities.

Exclusion Criteria:

  • Patients with injuries and acute and/or unclear illnesses in need of diagnosis, treatment or monitoring in an acute hospital.
  • Urgent births at HSS.
  • Acute psychiatric admissions to hospital.
  • Patients with serious mental disorders.
  • Patients who during the follow-up year move to a municipality outside of Hallingdal.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01069107


Locations
Norway
Hallingdal sjukestugu
Ål, Buskerud, Norway, 3570
Sponsors and Collaborators
Helse Sor-Ost
Ringerike sykehus, Vestre Viken HF
University of Oslo
Norwegian University of Science and Technology
Investigators
Study Director: Per Hjortdahl, Prof. Institute of General Practice and Community Medicine , University of Oslo

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Oystein Lappegard, Forsker, Helse Sor-Ost
ClinicalTrials.gov Identifier: NCT01069107     History of Changes
Other Study ID Numbers: 09-1300 REK
20100101 ( Other Identifier: Helse Sorost )
First Posted: February 17, 2010    Key Record Dates
Last Update Posted: February 19, 2016
Last Verified: February 2016

Keywords provided by Oystein Lappegard, Helse Sor-Ost:
community hospital
alternative acute admissions