Abstract
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Highlights
Conventional healthcare systems consist of facilities which provide different intensities of care
This study was aimed at evaluating the feasibility of a novel care model where a simple acuity-tier system is used to define acuity and match care intensity for each patient
The acuity level for 53% of patients remained unchanged throughout their hospitalization
Summary
Conventional healthcare systems consist of facilities which provide different intensities of care. Patients with acute conditions receive high intensity care in acute hospitals, transferred to step-down facilities for subacute and rehabilitative care when their acuity levels drop. This means shifting patients from one facility to another to receive different types and intensity of care, resulting in care fragmentation, multiple handovers between care teams and system inefficiency. We piloted a new Integrated General Hospital (IGH) concept where intensity of care is dynamically varied to match the acuity of patients’ conditions without moving them across different facilities
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