Systematic reviews and meta- and pooled analyses

Intermediate care units in progressive patient care model: a systematic literature review


Abstract


Background

Progressive patient care (PPC) has been defined as a systematic classification and segregation of patients based on their medical and nursing needs. Aim of the present research was to perform a systematic literature review about medical area intermediate care units of analyzing existing organizational models, performance strengths and weaknesses of the model. Secondary outcome of the review was to identify the model implementation results in Italy.

Methods

Databases PubMed, Cinahl, Google and Google Scholar were searched until September 2017. The search was also limited to Italian and English studies. All study design are inserted in the review.

Results

Ten studies were included in the review. The American studies showed, after the PPC reorganization, an increase in nursing care, a reduction in average length of stay, costs and tensions between nurses and an improvement in nurse-physician communication.

An Italian study reported the results of a project carried out in three Italian case studies, redesigning hospital patient flow logistics around the concept of intensity of care: in all three cases an increase in bed occupancy rate and in hospital case-mix complexity and a reduction in turn-over ratio was recorded.

Considering healthcare professionals’ point of view, majority of internists supported a hospital remodeling according to PPC model.

Conclusion

The PPC model, theorized in US, has found several applications in Italian regional realities. Improvements in quality of care, appropriateness and productivity in healthcare facilities that adopted the PPC program were observed.



DOI: https://doi.org/10.2427/12915

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EBPH Epidemiology, Biostatistics and Public Health | ISSN 2282-0930

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.