Publications by authors named "Maria Braken"
Article Synopsis
- Hospital-at-home is a viable alternative for managing COPD exacerbations, but its effects on healthcare providers' roles and satisfaction are unclear.
- A survey was conducted among healthcare professionals involved in home care to assess role clarity, role transitions, and their overall satisfaction, with varied response rates from different provider groups.
- Results showed that while many providers understood and were satisfied with their roles in early discharge, significant differences in perceived competencies and satisfaction levels among various nursing roles highlighted ongoing concerns about care coordination and continuity.
Objectives: Hospital admissions for exacerbations of chronic obstructive pulmonary disease are the main cost drivers of the disease. An alternative is to treat suitable patients at home instead of in the hospital. This article reports on the cost-effectiveness and cost-utility of early assisted discharge in The Netherlands.
View Article and Find Full Text PDFObjectives: To determine the effectiveness of early assisted discharge for chronic obstructive pulmonary disease (COPD) exacerbations, with home care provided by generic community nurses, compared with usual hospital care.
Design: Prospective, randomised controlled and multicentre trial with 3-month follow-up.
Setting: Five hospitals and three home care organisations in the Netherlands.
Effectiveness and cost-effectiveness of early assisted discharge for chronic obstructive pulmonary disease exacerbations: the design of a randomised controlled trial.
Cecile M A Utens Lucas M A Goossens Frank W J M Smeenk Onno C P van Schayck Walter van Litsenburg Maria Braken
BMC Public Health
October 2010
Article Synopsis
- COPD exacerbations lead to high hospitalizations, bed shortages, and healthcare costs, particularly due to the rising prevalence of the disease.
- Early assisted discharge programs, where patients receive care at home from specialized nurses, show promise as a safe and potentially cost-effective alternative to traditional hospital stays.
- The GO AHEAD study will compare early discharge at home versus regular inpatient care, assessing effectiveness, quality of life, caregiver burden, and overall patient satisfaction over three months.