科研之友
微信
新浪微博
Facebook
分享链接
摘要
Objective To compare children%26apos;s pathways to and through Community Children%26apos;s Nursing Team (CCNT) care, and NHS costs, before and after relocation of inpatient services and extension of a paediatric Emergency Department and Observation and Assessment Unit (ED/OAU). %26lt;br%26gt;Design Case study. Routinely collected data on activity and staffing were provided by the CCNT. Parents completed questionnaires about their child%26apos;s use of healthcare services and satisfaction with care preservice reconfiguration (n=221) or postreconfiguration (n=210). The cost of service use was compared prereconfiguration and postreconfiguration. %26lt;br%26gt;Patients Children referred to CCNT care. %26lt;br%26gt;Main outcome measures Healthcare service use and associated costs, satisfaction with CCNT care. %26lt;br%26gt;Results The mean number of services used before referral to the CCNT reduced from 2.8 to 1.6, and the proportion using only one service increased from 26% (n=58) to 61% (n=128). Inpatient admission during CCNT care reduced from 6% (n=13) to 2% (n=4), and ED attendance from 37% (n=79) to 16% (n=31). There was a considerable fall (25%) in the cost of CCNT care, and a sharp fall (55%) in the average overall NHS cost of care. CCNT care was rated %26apos;excellent%26apos; or %26apos;very good%26apos; by 85% of respondents both prereconfiguration and postreconfiguration. %26lt;br%26gt;Conclusions A CCNT provided an alternative to hospitalisation when acute general paediatric services were reconfigured to substitute for a relocated hospital. Children%26apos;s pathways to CCNT care were shortened. The average cost of CCNT care and overall NHS cost were lower following reconfiguration. Satisfaction remained high throughout.
- 出版日期2014-10
