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Hospital admission and discharge: lessons learned from a large programme in southwest Germany

Introduction: In the context of a GP-based care programme, we implemented an admission, discharge and follow-up programme.Description: The VESPEERA programme consists of three sets of components: pre-admission interventions, in-hospital interventions and post-discharge interventions. It was aimed at...

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Main Authors: Forstner, Johanna (Author) , Pilz, Maximilian (Author) , Straßner, Cornelia (Author) , Weis, Aline (Author) , Litke, Nicola (Author) , Uhlmann, Lorenz (Author) , Peters-Klimm, Frank (Author) , Aluttis, Frank (Author) , Baldauf, Annika (Author) , Kiel, Marion (Author) , Qreini, Markus (Author) , Kaufmann-Kolle, Petra (Author) , Schubert-Haack, Janina (Author) , El-Kurd, Nadja (Author) , Tomaschko-Ubeländer, Katrin (Author) , Treffert, Sarah (Author) , Rück, Ronja (Author) , Handlos, Bärbel (Author) , Karakas, Gökce (Author) , Wensing, Michel (Author) , Szecsenyi, Joachim (Author)
Format: Article (Journal)
Language:English
Published: 27 January 2023
In: International journal of integrated care
Year: 2023, Volume: 23, Issue: 1, Pages: 1-13
ISSN:1568-4156
DOI:10.5334/ijic.6534
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.5334/ijic.6534
Verlag, lizenzpflichtig, Volltext: https://ijic.org/articles/10.5334/ijic.6534
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Author Notes:Johanna Forstner, Maximilian Pilz, Cornelia Straßner, Aline Weis, Nicola Litke, Lorenz Uhlmann, Frank Peters-Klimm, Frank Aluttis, Annika Baldauf, Marion Kiel, Markus Qreini, Petra Kaufmann-Kolle, Janina Schubert-Haack, Nadja El-Kurd, Katrin Tomaschko-Ubeländer, Sarah Treffert, Ronja Rück, Bärbel Handlos, Gökce Karakas, Michel Wensing, Joachim Szecsenyi
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Summary:Introduction: In the context of a GP-based care programme, we implemented an admission, discharge and follow-up programme.Description: The VESPEERA programme consists of three sets of components: pre-admission interventions, in-hospital interventions and post-discharge interventions. It was aimed at all patients with a hospital stay participating in the GP-based care programme and was implemented in 7 hospitals and 72 general practices in southwest Germany using a range of strategies. Its’ effectiveness was evaluated using readmissions within 90 days after discharge as primary outcome. Questionnaires with staff were used to explore the implementation process.Discussion: A statistically significant effect was not found, but the effect size was similar to other interventions. Intervention fidelity was low and contextual factors affecting the implementation, amongst others, were available resources, external requirements such as legal regulations and networking between care providers. Lessons learned were derived that can aid to inform future political or scientific initiatives. Conclusion: Structured information transfer at hospital admission and discharge makes sense but the added value in the context of a GP-based programme seems modest. Primary care teams should be involved in pre- and post-hospital care.
Item Description:Gesehen am 16.03.2023
Physical Description:Online Resource
ISSN:1568-4156
DOI:10.5334/ijic.6534

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