Au sortir de l'hôpital, comment renforcer la continuité de la prise en charge médicale [Discharge from hospital: how to improve continuity of medical care?].

Details

Serval ID
serval:BIB_E873CAF5A0B5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Au sortir de l'hôpital, comment renforcer la continuité de la prise en charge médicale [Discharge from hospital: how to improve continuity of medical care?].
Journal
Revue Médicale Suisse
Author(s)
Garnier A., Uhlmann M., Griesser A.C., Lamy O.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
11/2015
Volume
11
Number
493
Pages
2064, 2066-2064, 2069
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
Early readmission is the major success indicator of the transition between hospital and home. Patients admitted with heart failure reach a 20% rate. Potentially avoidable readmissions, defined as unpredictable and related to a known condition during index hospitalization, represent the improvement margin. For these latter, implementation of specific interventions can be effective. Complex interventions on transition, including several modalities and seeking to encourage patient autonomy seem more effective than others. We describe two models: a pragmatic one developed in a regional hospital, and a more complex one developed in a university hospital during the LEAR-HF study. In both cases, it is imperative to work on "medical liability": should it extend beyond discharge up to the threshold of the private practice?
Keywords
Continuity of Patient Care/standards, Heart Failure/therapy, Hospitalization/statistics & numerical data, Hospitals/standards, Humans, Models, Theoretical, Patient Discharge, Patient Readmission/statistics & numerical data
Pubmed
Create date
27/04/2016 11:36
Last modification date
20/08/2019 17:11
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