Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)

Editor

Personal info

View

About

Terms

Javascript disabled

Please enable Javascript support in your browser to use this application.

Instructions on how to enable JavaScript on different browsers can be found here: http://www.google.com/support/bin/answer.py?answer=23852.

[edit this page]

Kaag, M.E. et al.

Kaag, Wijkel, de Jong,

Primary health care replacing hospital care--the effect on quality of care.

In order to change current practice concerning hospital stays, a project was initiated in which shortening hospital stay was combined with shifting care to primary health care. Research was aimed at assessing quality of care of shortened hospital stays with home care by the community nurse and/or the general practitioner (GP). A randomized clinical trial was conducted with three subgroups: 1. traditional hospital stay; 2. hospital admission on the day of surgery, discharge the day after; two consultations at the outpatient department; one visit by the community nurse before surgery, two visits after; 3. mostly as for 2. with two GP visits replacing the two consultations at the outpatient department. The selected surgical procedures were: laparoscopic cholecystectomy, varicose veins, removal of osteosynthesis material, hernia surgery and other minor surgery (normal hospital stay 4-6 days). Every motivated patient meeting the inclusion criteria entered the study. During one year 120 patients were thus selected. Only minor differences were found between the three subgroups in the resulting quality of care. It is concluded that late admission and early discharge even without after discharge care is feasible in most cases for healthy patients.[1]

References

Primary health care replacing hospital care--the effect on quality of care. Kaag, M.E., Wijkel, D., de Jong, D. International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua. (1996) [Pubmed]

Annotations and hyperlinks in this abstract are from individual authors of WikiGenes or automatically generated by the WikiGenes Data Mining Engine. The abstract is from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.About WikiGenes Open Access Licence Privacy Policy Terms of Use apsburg

The world's first wiki where authorship really matters (Nature Genetics, 2008). Due credit and reputation for authors. Imagine a global collaborative knowledge base for original thoughts. Search thousands of articles and collaborate with scientists around the globe.