Patient and Institutional-Level Determinants of Self-Perceived Health at Municipal In-Patient Acute Care Units in Norway.
Background: Self-perceived health status is an important outcome for older adults recovering from acute illness, yet little is known about what predicts this outcome at discharge in Norwegian admission avoidance service. This study aimed to assess the change in self-perceived health of patients betw...
| Publicado en: | Health Services Insights Vol. 19; pp. 1 - 15 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
7/15/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195415625&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195415625 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 7/15/2026 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 195415625 195415625 195415625 10.1177/11786329261463021 195415625 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Patient and Institutional-Level Determinants of Self-Perceived Health at Municipal In-Patient Acute Care Units in Norway. aug: au: Sitoula, Susan Hufthammer, Karl Ove Rostad, Hanne Marie affil: Department of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway sug: subj: Acute Care Norway Self Concept Patient Admission Patient Discharge Health Status Human Norway Male Female Adult Middle Age Aged Aged, 80 and Over Exploratory Research Retrospective Design Record Review Descriptive Statistics Mann-Whitney U Test Kruskal-Wallis Test Paired T-Tests Wilcoxon Signed Rank Test Multiple Linear Regression Intraclass Correlation Coefficient Data Analysis Software Subacute Care Patient-Reported Outcomes Primary Health Care Confidence Intervals Hospital Units Inpatients Quality of Life Questionnaires Scales Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Self-perceived health status is an important outcome for older adults recovering from acute illness, yet little is known about what predicts this outcome at discharge in Norwegian admission avoidance service. This study aimed to assess the change in self-perceived health of patients between admission and discharge in municipal in-patient acute care units (MIPACs) – a type of admission avoidance service in Norway – and to explore the association of individual and MIPAC institutional level factors on perceived health. Methods: Cross-sectional design with retrospective pre-test design was employed. Staff at eight MIPAC units collected data from patients who were willing and cognitively able to participate. Self-perceived health was measured with two outcome variables, the EQ-5D-5L index and the EQ-VAS, at admission and discharge, using a pre-post-test design. Missing data was handled using multiple imputation. Linear regression models were estimated in Stata. Results: Among the 89 included patients, the mean age was 77 (median = 81, Q1–Q3 = 70–87, minimum–maximum 35–98), and 66% were women. All patients showed significant improvement in self-perceived health from admission to discharge. The mean increase of EQ-5D-5L index was 0.27 points (95% CI = 0.21–0.33), and the mean increase of the EQ-VAS score was 15 points (95% CI = 9.70–19.90). Other individual or institutional characteristics, including age, comorbidity, length of stay, and bed count, were not statistically significantly associated with changes in EQ-5D-5L and EQ-VAS scores. Conclusions: The study found that patients receiving care in MIPACs showed significant improvements in self-perceived health between admission and discharge. Some individual-level predictors were identified, but institutional factors appeared unrelated to the change. These findings highlight that individual characteristics influenced patient's perceived health more than the institutional differences between the units. Future studies should incorporate larger samples and explore additional factors, such as interpersonal or community, to show a more comprehensive understanding of how the care environment shapes self-perceived health. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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