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Evaluation of two different levels of routine medical cover at a community hospital rehabilitation unit and their association with utilisation of on-call medical services out of normal working hours
Author(s)Emily Wersocki, Dawn Moody, Barnabas Panayiotou
Journal titleAgeing & Health: the Journal of the Institute of Ageing and Health (West Midlands), no 18, 2012
PublisherInstitute of Ageing and Health, West Midlands, 2012
Pagespp 21-24
Sourcewww.iah-wmids.org.uk
KeywordsCommunity hospital ; Medical care ; Rehabilitation ; Evaluation ; Staffordshire Moorlands.
AnnotationRehabilitation units based in community hospitals traditionally care for medically stable patients requiring less medical cover than acute hospitals. However, with increasing pressure on acute units, patients with active medical problems are now transferred to rehabilitation units. The authors evaluated the association between two levels of routine medical cover and the effect on patient care at Leek Moorlands Cottage Hospital,. The sme 6-month period (1st September to 28th February) in two consecutive years, the first with 5 medical sessions per week (mornings only) and the next with 10 sessions per week (9am to 5pm Monday to Friday) were analysed. The compared the out of normal working hours call-out consultations (evenings and weekends provided by a local doctors' cooperative and paramedic service) that were required in the two periods. Out-of-hours utilisation Monday to Friday decreased significantly in the second period by 43%, but was unchanged at weekends. The type of call-out consultations also changed, with a significant decrease of 70% in paramedic contacts. The introduction of greater routine medical cover benefited patient care. (RH).
Accession NumberCPA-121208203
ClassmarkLD:PA: LK: LM: 4C: 8STK

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