TY - JOUR
T1 - The first general practitioner hospital in The Netherlands: towards a new form of integrated care?
AU - Moll van Charante, Eric
AU - Hartman, Esther
AU - Yzermans, Joris
AU - Voogt, Elsbeth
AU - Klazinga, Niek
AU - Bindels, Patrick
PY - 2004
Y1 - 2004
N2 - Objective - To describe the types of patients admitted to the first Dutch general practitioner (GP) hospital, their health-related quality of life and its substitute function. Design - A prospective observational study. Setting - The remaining 20-bed ward of a former district general hospital west of Amsterdam; a region with 62 000 inhabitants and 26 GPs. Subjects - All patients admitted during the 12 months between 1 June 1999 and 1 June 2000. Main outcome measures - Patients' health-related quality of life (Medical Outcome Study 36-item Short Form Health Survey, Groningen Activities Restriction Scale), GPs assessments of severity of illness (DUSOI/WONCA Severity of Illness Checklist) and alternative modes of care. Results - In total, 218 admissions were recorded divided into 3 bed categories: GP beds (n =/ 131), rehabilitation beds (n = 62) and nursing home beds (n = 25). The mean age of all patients was 76 years. Main reasons for admission were immobilization due to trauma at home (GP beds), rehabilitation from surgery (rehabilitation beds) and stroke (nursing home beds). Overall, patients showed a poor health-related quality of life on admission. If the GP beds had not been available, the GPs estimated that the admissions would have been almost equally divided among home care, nursing home and hospital care. The severity of the diagnosis on admission of the 'hospital-care group' appeared to be significantly higher than the other care groups. Conclusion - The GP hospital appears to provide a valuable alternative to home care, nursing home care and hospital care, especially for elderly patients with a poor health-related quality of life who are in need of short medical and nursing care
AB - Objective - To describe the types of patients admitted to the first Dutch general practitioner (GP) hospital, their health-related quality of life and its substitute function. Design - A prospective observational study. Setting - The remaining 20-bed ward of a former district general hospital west of Amsterdam; a region with 62 000 inhabitants and 26 GPs. Subjects - All patients admitted during the 12 months between 1 June 1999 and 1 June 2000. Main outcome measures - Patients' health-related quality of life (Medical Outcome Study 36-item Short Form Health Survey, Groningen Activities Restriction Scale), GPs assessments of severity of illness (DUSOI/WONCA Severity of Illness Checklist) and alternative modes of care. Results - In total, 218 admissions were recorded divided into 3 bed categories: GP beds (n =/ 131), rehabilitation beds (n = 62) and nursing home beds (n = 25). The mean age of all patients was 76 years. Main reasons for admission were immobilization due to trauma at home (GP beds), rehabilitation from surgery (rehabilitation beds) and stroke (nursing home beds). Overall, patients showed a poor health-related quality of life on admission. If the GP beds had not been available, the GPs estimated that the admissions would have been almost equally divided among home care, nursing home and hospital care. The severity of the diagnosis on admission of the 'hospital-care group' appeared to be significantly higher than the other care groups. Conclusion - The GP hospital appears to provide a valuable alternative to home care, nursing home care and hospital care, especially for elderly patients with a poor health-related quality of life who are in need of short medical and nursing care
U2 - https://doi.org/10.1080/02813430310004939
DO - https://doi.org/10.1080/02813430310004939
M3 - Article
C2 - 15119519
SN - 0281-3432
VL - 22
SP - 38
EP - 43
JO - Scandinavian journal of primary health care
JF - Scandinavian journal of primary health care
IS - 1
ER -