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Implementation of discharge recommendations in type 1 diabetes depends on specialist nurse follow-up

Tiberg, I. LU ; Hansson, H. LU ; Hallström, I. LU and Carlsson, A. (2018) In Acta Paediatrica, International Journal of Paediatrics
Abstract

Aim: This paper presents an implementation study following previous research including a randomised controlled trial (RCT) of hospital-based home care (HBHC), referring to specialist care in a home-based setting. The aim was to evaluate whether the effects sustained when rolled out into wider practice. Methods: In 2013–2014, 42 children newly diagnosed type 1 diabetes were included in the study at a university hospital in Sweden and followed for two years. Measurements of child safety, effects of services, resource use and service quality were included. Descriptive statistics were used to present the results and then discussed in relation to the same intervention of HBHC previously evaluated in an RCT. Results: Shorter in-hospital stay... (More)

Aim: This paper presents an implementation study following previous research including a randomised controlled trial (RCT) of hospital-based home care (HBHC), referring to specialist care in a home-based setting. The aim was to evaluate whether the effects sustained when rolled out into wider practice. Methods: In 2013–2014, 42 children newly diagnosed type 1 diabetes were included in the study at a university hospital in Sweden and followed for two years. Measurements of child safety, effects of services, resource use and service quality were included. Descriptive statistics were used to present the results and then discussed in relation to the same intervention of HBHC previously evaluated in an RCT. Results: Shorter in-hospital stay was partially implemented but increased support after discharge by the diabetes nurse was not. The results indicated that the implemented HBHC was equally effective in terms of child outcomes two years from diagnosis but less effective in terms of parents’ outcome. The results furthermore indicated that the quality of services decreased. Conclusion: The suggested overall conclusion was that the implemented HBHC services were safe but had become less effective, at least in relation to the HBHC provided under controlled circumstances.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Effectiveness, Implementation, Metabolic control, Quality of life, Resource use
in
Acta Paediatrica, International Journal of Paediatrics
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • scopus:85060188807
ISSN
0803-5253
DOI
10.1111/apa.14704
language
English
LU publication?
yes
id
de7a7726-c611-4fe6-9872-deee9704350b
date added to LUP
2019-01-30 11:54:35
date last changed
2019-02-03 05:39:10
@article{de7a7726-c611-4fe6-9872-deee9704350b,
  abstract     = {<p>Aim: This paper presents an implementation study following previous research including a randomised controlled trial (RCT) of hospital-based home care (HBHC), referring to specialist care in a home-based setting. The aim was to evaluate whether the effects sustained when rolled out into wider practice. Methods: In 2013–2014, 42 children newly diagnosed type 1 diabetes were included in the study at a university hospital in Sweden and followed for two years. Measurements of child safety, effects of services, resource use and service quality were included. Descriptive statistics were used to present the results and then discussed in relation to the same intervention of HBHC previously evaluated in an RCT. Results: Shorter in-hospital stay was partially implemented but increased support after discharge by the diabetes nurse was not. The results indicated that the implemented HBHC was equally effective in terms of child outcomes two years from diagnosis but less effective in terms of parents’ outcome. The results furthermore indicated that the quality of services decreased. Conclusion: The suggested overall conclusion was that the implemented HBHC services were safe but had become less effective, at least in relation to the HBHC provided under controlled circumstances.</p>},
  author       = {Tiberg, I. and Hansson, H. and Hallström, I. and Carlsson, A.},
  issn         = {0803-5253},
  keyword      = {Effectiveness,Implementation,Metabolic control,Quality of life,Resource use},
  language     = {eng},
  month        = {12},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Paediatrica, International Journal of Paediatrics},
  title        = {Implementation of discharge recommendations in type 1 diabetes depends on specialist nurse follow-up},
  url          = {http://dx.doi.org/10.1111/apa.14704},
  year         = {2018},
}