Cristin-resultat-ID: 1935504
Sist endret: 17. september 2021, 15:26
Resultat
Vitenskapelig foredrag
2021

Effects of municipal acute wards on hospital admissions: Evaluation of a natural experiment using register data

Bidragsytere:
  • Terje P. Hagen

Presentasjon

Navn på arrangementet: the NOPSA Congress, Program WP 22: Managing the health sector: recent trends in policy development and governance
Sted: Reykjavik/Zoom
Dato fra: 10. august 2021
Dato til: 13. august 2021

Arrangør:

Arrangørnavn: Nordic Political Science Association

Om resultatet

Vitenskapelig foredrag
Publiseringsår: 2021

Beskrivelse Beskrivelse

Tittel

Effects of municipal acute wards on hospital admissions: Evaluation of a natural experiment using register data

Sammendrag

Objectives: Norway introduced municipal acute wards (MAWs) as part of the Coordination Reform in 2012 to reduce the number of patients admitted to hospitals. The main objective of the paper is investigate whether implementation of AMUs had a causal effect on hospital admissions. Methods: We analyzed monthly admission rates in total and by age group for patients admitted with acute and elective conditions at internal medicine and surgical departments by panel data regression technics. Identification of the causal effects were made possible by utilizing the sequential implementation of the MAW. Our data covered all municipalities for the period from 2010 until the end of 2017. Preliminary results: The sequential implementation of the MAWs started summer 2012. By the beginning of 2016 close to all municipalities had an MAW up and running. The introduction of MAWs was associated with a significant reduction in acute hospital admissions. The effect was strongest for patients above 80 years of age admitted acutely to internal medicine departments. The effects were even stronger if the MAW had physician on duty 24/7 or were located close to a local emergency center. Conclusion: Our findings suggest that this type of intermediate care is a viable option in an effort to alleviate the burden on hospitals by reducing acute secondary care admission volume.

Bidragsytere

Aktiv cristin-person

Terje P. Hagen

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo
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