Table 1
Healthcare use and estimated costs (in 2021€).
| TOTAL GROUP (N = 267) | CONTROL PERIOD (N = 163) | INTERVENTIONPERIOD (N = 104) | P-VALUE |
|---|---|---|---|
| Patients characteristics | |||
| Age, mean (±SD), years | 79.78 (6.6) | 78.95 (6.2) | 0.338 |
| Sex, n male (%) | 66 (40.7) | 46 (46.9) | 0.328 |
| Healthcare use in the 30 days after acute request | |||
| Hospitalisation, n yes % | 64,4 | 52.9 | 0.061 |
| ED, n yes (%) | 69.3 | 58.7 | 0.074 |
| GPC, n yes % | 11.8 | 16.3 | 0.292 |
| Emergency ambulance ride, n yes % | 5.0 | 3.8 | 0.660 |
| Own GP, n yes % | 78.3 | 84.6 | 0.200 |
| Admission to a nursing home, n yes % | 14.8 | 2.9 | 0.002 |
| Need of a district nurse, n yes % | 22.1 | 23.4 | 0.848 |
| Number of times healthcare use, when answer was yes | |||
| Number of hospital admission, mean (±SD) | 1.15 (0.4) | 1.15 (0.4) | 0.933 |
| Number of hospitalization days, mean (±SD) | 4.10 (7.4) | 3.37 (5.7) | 0.402 |
| Number of ED visits, mean (±SD) | 1.09 (0.3) | 1.11 (0.3) | 0.603 |
| Number of GPC visits, mean (±SD) | 1.26 (0.7) | 1.81 (1.47) | 0.161 |
| Number of own GP visits, mean (±SD) | 2.75 (1.9) | 2.64 (1.8) | 0.684 |
| Number of emergency ambulance ride, mean (±SD) | 1.13 (0.4) | 1.25 (0.5) | 0.624 |
| Average costs per patient calculated with the reference prices [27, 28, 29, 30, 31] | |||
| Hospitalization costs, mean (±SD) | €2147 (3851.5) | €1764 (2969.8) | 0.625 |
| ED costs, mean (±SD) | €215 (161.7) | €186 (172.0) | 0.042 |
| Emergency ambulance ride costs, mean (±SD) | €38 (173.2) | €32 (172.7) | 0.627 |
| GPC costs, mean (±SD) | €19 (61.2) | €36 (111.4) | 0.002 |
| Visit own GP costs, mean (±SD) | €22 (21.5) | €23 (20.5) | 0.516 |
| Costs together, mean (±SD) | €2468 (3959.6) | €2046 (3060.7) | 0.671 |
Table 2
Patients experiences with acute care.
| TOTAL GROUP (N = 40) | |
|---|---|
| Patients characteristics | |
| Age, mean (±SD), years | 78.72 (4.5) |
| Sex, n male (%) | 20 (50.0) |
| Hospitalisation, n yes (%) | 16 (40.0) |
| ED visit, n yes (%) | 20 (50.0) |
| Contact GPC, n yes (%) | 4 (10.0) |
| Contact ambulance service, n yes (%) | 3 (7.5) |
| Satisfaction, 1 means very dissatisfied, 5 very satisfied | |
| Overall satisfaction (±SD) | 4.63 (0.4) |
| Average score, 0 means bad and 10 means excellent | |
| Call handlers GPC (±SD) | 7.9 (1.2) |
| GPC organisation (±SD) | 7.98 (1.2) |
| Ambulance nurses (±SD) | 8.67 (1.0) |
Table 3
Experience of care professionals, CAWI questionnaire.
| TOTAL GROUP (N = 76) | CALL HANDLER GPC (N = 21) | CALL HANDLER DISPATCH CENTER (N = 13) | AMBULANCE NURSE (N = 42) | P-VALUE | |
|---|---|---|---|---|---|
| Care professional characteristics | |||||
| Age, mean (±SD), years | 46 (9) | 45 (10) | 50 (11) | 46 (9) | 0.400 |
| Sex, male : female, n | 30 : 46 | 0 : 21 | 6 : 7 | 24 : 18 | <0.01 |
| Average working hours a week, mean (±SD) | 29.17 (7.4) | 21.19 (7.0) | 30.31 (5.5) | 32.81 (4.7) | <0.01 |
| Work experience in profession, mean (±SD), years | 14.76 (9.7) | 14.71 (8.9) | 14.54 (9.5) | 14.86 (9.7) | 0.994 |
| Work experience within organisation, mean (±SD), years | 10.87 (7.3) | 9.95 (5.8) | 13.38 (8.7) | 10.55 (7.5) | 0.383 |
| Number of points per topics, maximum score 4 | |||||
| Satisfaction, mean (±SD) | 2.73 (0.6) | 3.35 (0.3) | 2.77 (0.5) | 2.41 (0.6) | <0.01 |
| Collaboration chain partners, mean (±SD) | 2.70 (0.4) | 2.90 (0.3) | 2.65 (0.4) | 2.61 (0.4) | 0.017 |
| Collaboration own organisation, mean (±SD) | 3.06 (0.3) | 3.34 (0.3) | 2.91(0.3) | 2.95 (0.3) | <0.01 |
| Completeness transfer, mean (±SD) Confidence in future, mean (±SD) | 2.44 (0.6) 2.72 (0.8) | 2.85 (0.6) 3.29 (0.6) | 2.62 (0.4) 2.69 (0.6) | 2.18 (0.6) 2.45 (0.8) | <0.01<0.01 |
| All above components together, mean (±SD) | 2.73 (0.5) | 3.15 (0.3) | 2.73 (0.5) | 2.52 (0.4) | <0.01 |