Publications by authors named "Maria W 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.
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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.

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Objectives: 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.

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