One-Bed-One-Team—Does an Integrated General Hospital Inpatient Model Improve Care Outcomes and Productivity: An Observational Study

• DOI: 10.3389/fpubh.2022.779910
• Publication Date: 2022-03-04T06:49:13Z
• Authors: Yi Feng Lai; Shi Qi Lee; Yi-Roe Tan; Zheng Yi Lau; Jason Phua; See Meng Khoo; Satya Pavan Kumar...; Cher Wee Lim; Yee Wei Lim
• Keywords: Medical record; Acute care

Introduction With the increasing complexity of healthcare problems worldwide, demand for better-coordinated care delivery is on rise. However, current hospital-based practices remain largely disease-centric and specialist-driven, resulting in fragmented care. This study aimed to evaluate effectiveness feasibility an integrated general hospital (IGH) inpatient model. Methods Retrospective analysis medical records between June 2018 August 2019 compared patients admitted under IGH model receiving usual public hospitals. The managed from one location with a multidisciplinary team, performing needs-based transition utilizing acuity tagging match intensity illness acuity. Results 5,000 episodes entered analysis. In absence intervention control, average length stay (ALOS) was 0.7 days shorter than control. group but not acute ALOS 2 shorter, whereas subacute 4.8 longer. presence 6.4 10.2 15.8 26.9 at hospitals without co-located community hospitals, respectively. 30- 60-days readmission rates were marginally higher care, though clinically significant. Discussions maybe associated inpatients optimize resource allocation service utilization. Patients dynamic benefited seamless process.