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Shifting care from community hospitals to intensive community support: a mixed method study
Kate S Williams1, Stoyan Kurtev2, Kay Phelps3
11Senior Research Fellow in Nursing,Department of Health Sciences,University of Leicester,Leicester,UK.
Intensive community support (ICS) reduced community hospital (CH) admissions by 25% while increasing overall admissions by 19%. Patients and carers found both services acceptable, though staff readiness for ICS varied.
Area of Science:
- Gerontology
- Health Services Research
- Rehabilitation Medicine
Background:
- Intensive community support (ICS) was implemented as an alternative to community hospital (CH) care for elderly patients needing general rehabilitation.
- This study examines the impact of ICS introduction on CH admissions and explores stakeholder perspectives.
Purpose of the Study:
- To evaluate the effect of intensive community support (ICS) on community hospital (CH) admissions.
- To understand patient, carer, and health professional views on the transition to ICS.
Main Methods:
- Analysis of routine admission and length of stay data for CH and ICS from September 2012 to September 2014.
- Qualitative interviews with 10 patients and 19 healthcare professionals (including managers and clinicians).
Main Results:
- Between September 2012 and September 2014, CH admissions decreased by 25% (from 217 to 162 per month) after ICS implementation.
- Overall admissions (CH + ICS) increased by 19% (to 259 per month), with ICS admitting 97 patients monthly.
- Patients and carers viewed both ICS and CH positively compared to acute care; staff generally welcomed ICS, though some felt unprepared for community-based work.
Conclusions:
- Intensive community support (ICS) is a feasible and acceptable addition to community hospital (CH) services.
- Further efforts are required to align staff understanding and preparedness for the ICS model across healthcare sectors.
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