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Många över 80 år hade kunnat få vård utanför sjukhuset.

Myredal, Anna; Mauritzon, Ingela; Blom, Mathias and Ivarsson, Kjell (2016) In Läkartidningen 113(5).
Abstract
Ageing populations and higher ambitions continuously drive healthcare costs in Sweden and worldwide. During the last two decades, downsizing hospital bed capacity has been the strategy for cutting expenditure in the Swedish healthcare system. However, the lack of implementation of new and viable outpatient alternatives has led to a widespread overcrowding problem in Swedish hospitals and emergency departments. The present study was conducted as a survey in hospital wards at two emergency hospitals in southwestern Sweden. Study aims were to assess the causes of hospitalization and indications for continuing in-hospital care in hospitalized geriatric patients (>80 years). The study shows that a very small number of patients are admitted... (More)
Ageing populations and higher ambitions continuously drive healthcare costs in Sweden and worldwide. During the last two decades, downsizing hospital bed capacity has been the strategy for cutting expenditure in the Swedish healthcare system. However, the lack of implementation of new and viable outpatient alternatives has led to a widespread overcrowding problem in Swedish hospitals and emergency departments. The present study was conducted as a survey in hospital wards at two emergency hospitals in southwestern Sweden. Study aims were to assess the causes of hospitalization and indications for continuing in-hospital care in hospitalized geriatric patients (>80 years). The study shows that a very small number of patients are admitted barely because of social factors; however, there is a significant group where hospitalization is due to both social and medical factors. A large group of hospitalized patients over 80 year (37%) could receive their care outside the emergency hospital. About 30% of hospitalized patients are waiting for planning, and the majority of them waiting for social action and planning. Older patients with multiple diseases require healthcare but not hospitalization to the present extent. We should focus on developing additional forms of healthcare since avoidable hospitalization is a high cost for the society, but above all a risk for the individual. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
113
issue
5
external identifiers
  • pmid:26835686
  • scopus:84987849161
ISSN
0023-7205
language
Swedish
LU publication?
no
id
0d9b3fe2-a20c-418f-b994-eb81911ce907 (old id 8829493)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26835686?dopt=Abstract
date added to LUP
2016-03-01 13:18:04
date last changed
2017-01-01 05:22:47
@article{0d9b3fe2-a20c-418f-b994-eb81911ce907,
  abstract     = {Ageing populations and higher ambitions continuously drive healthcare costs in Sweden and worldwide. During the last two decades, downsizing hospital bed capacity has been the strategy for cutting expenditure in the Swedish healthcare system. However, the lack of implementation of new and viable outpatient alternatives has led to a widespread overcrowding problem in Swedish hospitals and emergency departments. The present study was conducted as a survey in hospital wards at two emergency hospitals in southwestern Sweden. Study aims were to assess the causes of hospitalization and indications for continuing in-hospital care in hospitalized geriatric patients (>80 years). The study shows that a very small number of patients are admitted barely because of social factors; however, there is a significant group where hospitalization is due to both social and medical factors. A large group of hospitalized patients over 80 year (37%) could receive their care outside the emergency hospital. About 30% of hospitalized patients are waiting for planning, and the majority of them waiting for social action and planning. Older patients with multiple diseases require healthcare but not hospitalization to the present extent. We should focus on developing additional forms of healthcare since avoidable hospitalization is a high cost for the society, but above all a risk for the individual.},
  author       = {Myredal, Anna and Mauritzon, Ingela and Blom, Mathias and Ivarsson, Kjell},
  issn         = {0023-7205},
  language     = {swe},
  number       = {5},
  series       = {Läkartidningen},
  title        = {Många över 80 år hade kunnat få vård utanför sjukhuset.},
  volume       = {113},
  year         = {2016},
}