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[Results Centre of Social and Health Care Network in Catalonia. Evolution 2013-2018]
Ingrid Bullich-Marín1, Anna García-Altés2, Ramon Miralles-Baseda3
1Plan director sociosanitario, Departamento de Salud de la Generalitat de Catalunya, Barcelona, España; Departamento de Enfermería del Parc Taulí, Hospital Universitario, Instituto de Investigación e Innovación Parc Taulí (I3PT), Sabadell, Barcelona, España; Grupo de investigación en Cronicidad de la Cataluña Central (C3RG), Vic, Barcelona, España.
Objective:
The Results Centre's (RC) mission is to measure, evaluate and disseminate the results achieved by the different agents of the health system, based on relevant measures. The purpose of this research is to describe the evolution of indicators used in the social and health care network RC (RC-SH), including some indicators sensitive to nursing practice.
Method:
Observational, descriptive cross-sectional study based on data from 6 RC-SH reports (2013-2018). Indicators including activity carried out, days of stay, achievement of rehabilitation goals, discharge to home, mortality and pressure ulcers are analysed.
Results:
There was an increase in activity on the different social and health resources and days of stay decrease. Results were heterogeneous between centres. Functional improvement and home discharge showed an increasing trend, while mortality tended to decrease. The prevalence of grade III-IV pressure ulcers was maintained.
Conclusions:
RC-SH reports have included different indicators to improve the capacity of evaluation and benchmarking for social and health network. These reports provide transparency and accountability in the field and invite further improvement in this sector. Also RC-SH results show that social and health network evolves towards intermediate care with the entry of subacute resources and the greater efficiency of convalescence. The incorporation of indicators sensitive to nursing practice contributes to making nurses and nursing care visible.
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