Community Hospitals in Selected High Income Countries: A Scoping Review of Approaches and Models

International Journal of Integrated Care

Edwin van Teijlingen¹  Ellen Nolte²  Emma Pitchforth³  Jennie Corbett³  Celine Miani³  Sarah King³  Eleanor M Winpenny³  Tom Ling³ 

[1] Bournemouth University;London School of Economics and Political Science;RAND Europe, Westbrook Centre, Milton Road, Cambridge;

关键词: cottage hospital;    primary care;    health systems;    service delivery models;    integration;    primary/secondary care interface;    community hospital;   

DOI  :  10.5334/ijic.2463

来源: DOAJ

【 摘 要 】

Background: There is no single definition of a community hospital in the UK, despite its long history. We sought to understand the nature and scope of service provision in community hospitals, within the UK and other high-income countries. Methods: We undertook a scoping review of literature on community hospitals published from 2005 to 2014. Data were extracted on features of the hospital model and the services provided, with results presented as a narrative synthesis. Results: 75 studies were included from ten countries. Community hospitals provide a wide range of services, with wide diversity of provision appearing to reflect local needs. Community hospitals are staffed by a mixture of general practitioners (GPs), nurses, allied health professionals and healthcare assistants. We found many examples of collaborative working arrangements between community hospitals and other health care organisations, including colocation of services, shared workforce with primary care and close collaboration with acute specialists. Conclusions: Community hospitals are able to provide a diverse range of services, responding to geographical and health system contexts. Their collaborative nature may be particularly important in the design of future models of care delivery, where emphasis is placed on integration of care with a key focus on patient-centred care.

【 授权许可】

Unknown