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Research & theory

The role of an intermediate unit in a clinical pathway

Authors:

Anne-Kari Johannessen ,

NO
About Anne-Kari

Research Scholar, Nurse, HØKH/Research Senter, Akershus University Hospital, 1478 Lørenskog, Norway

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Hilde Lurås,

NO
About Hilde

Associate university professor, PhD, HØKH/Research Senter, Akershus University Hospital, 1478 Lørenskog, Norway

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Sissel Steihaug

NO
About Sissel
Senior researcher, MD, PhD
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Abstract

Introduction: Different care models have been established to achieve more coordinated clinical pathways for older patients in the transition between hospital and home. This study explores an intermediate unit's role in a clinical pathway for older patients with somatic diseases.

Theory and methods: Qualitative data was collected via interviews, observations, and a questionnaire. Participants included patients and healthcare providers within both specialist and primary healthcare. Transcripts of interviews and field notes were analyzed using a method of systematic text condensation.

Results: Healthcare providers in the hospital, the intermediate unit, and the municipalities have different opinions about who is a "suitable" patient for the unit and what is the proper time for hospital discharge. This results in time- consuming negotiations between the hospital and the unit. Incompatible computer systems increase the healthcare provider's workload. Several informants are doubtful as to whether a stay in the unit is useful to the patients, while the patients are mostly pleased with their stay and the transferral.

Conclusion and discussion: This study describes challenges that may occur when a new unit is established in an existing healthcare system in order to achieve an appropriate clinical pathway from hospital to home.  

How to Cite: Johannessen A-K, Lurås H, Steihaug S. The role of an intermediate unit in a clinical pathway. International Journal of Integrated Care. 2013;13(1):None. DOI: http://doi.org/10.5334/ijic.859
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Published on 26 Mar 2013.
Peer Reviewed

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