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Evaluating a respiratory intermediate care team.

Sue Ward¹, Helen Barnes, Rachel Ward

¹East Oxford Health Care Center, Oxford. sue.ward@oxfordcity-pct.nhs.uk

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)

|November 1, 2005

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Respiratory intermediate care teams effectively reduce hospital bed days for chronic respiratory disease patients. Patients prefer home-based care, feeling supported to self-manage their condition.

Area of Science:

Respiratory Medicine
Healthcare Management
Nursing Science

Background:

Chronic respiratory diseases pose a significant burden on healthcare systems.
The role of specialist nursing teams in managing these conditions requires evaluation.
Hospital bed day utilization is a key metric for healthcare efficiency.

Purpose of the Study:

To assess the effectiveness of a respiratory intermediate care team.
To evaluate the impact of specialist nursing on hospital bed days.
To determine patient preferences for care delivery models.

Main Methods:

Audit of the respiratory intermediate care team's performance.
Patient satisfaction postal questionnaire.
Analysis of hospital admission and discharge data.

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Main Results:

The respiratory intermediate care team significantly reduces hospital bed days by preventing admissions and facilitating early discharges.
The majority of patients reported positive experiences with hospital-at-home care, feeling well-supported in self-management.
Specialist nursing teams in primary care demonstrate value to patients and cost savings for the National Health Service (NHS).

Conclusions:

Respiratory intermediate care teams are effective in managing chronic respiratory disease and optimizing hospital resource utilization.
Patient-centered, home-based care models supported by specialist nurses enhance patient satisfaction and self-management capabilities.
Investing in specialist nursing teams in primary care offers a valuable, cost-effective approach to respiratory patient management.