Alternatives to hospital care

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Alternatives to acute hospital psychiatric care in east-end Montreal.

OBJECTIVE As pressure mounts to reduce the number of costly acute care beds, governments and the literature propose top-down ratios. Is this reasonable and fair to the responsible medical officers who, as the key care providers, will need to admit patients and develop discharge plans in a reduced-beds environment? METHOD Treating physicians of all acute care inpatients on a given day (n = 212...

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Governance and autonomy in alternatives to hospital care.

Older people with complex illness and disability should have the same equitable opportunities and safeguards for treatment and care as do younger people. These should be based on needs, likely health gain and personal preference. Comprehensive assessment and goal setting, with monitoring of progress and outcomes, should be an integral feature of alternatives to hospital care, wherever they are ...

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Institutional alternatives to the rural hospital

An important aspect of the ongoing debate on rural health policy is how to deliver inpatient care in sparsely populated rural areas. One alternative is to create a new classification of rural inpatient facility that would deliver more limited services than available in a rural hospital, have more flexibility in staffing requirements, and possibly be reimbursed differently. The support of the He...

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Special Report - Institutional Alternatives to the Rural Hospital

An imponant aspect of the ongoing debate on rural health policy is how to deliver inpatient care in sparsely populated rural areas. One alternative is to create a new classification of rural inpatient facility that would deliver more limited services than available in a rural hospital, have more flexibility in staffing requirements, and possibly be reimbursed differently. The support of the Hea...

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Residential alternatives to acute psychiatric hospital admission: systematic review.

BACKGROUND Reducing use of hospital wards and improving their quality are central aims of mental health service policy. However, no comprehensive synthesis is available of evidence on residential alternatives to standard acute psychiatric wards. AIMS To assess the effectiveness and cost-effectiveness of and satisfaction with residential alternatives to standard acute in-patient mental health ...

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ژورنال

عنوان ژورنال: Age and Ageing

سال: 2002

ISSN: 1468-2834

DOI: 10.1093/ageing/31.2.151