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PhD project in Hospital-at-Home as alternative to hospital admission in frail elderly patients with acute disease – an evaluation at Aarhus Uni, Denmark 2022

Denmark

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PhD project in Hospital-at-Home as alternative to hospital admission in frail elderly patients with acute disease – an evaluation at Aarhus University, Denmark 2022

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General Info

Position: PhD
No. of Positions: 1
Research Field:
Joining Date: ASAP
Contract Period: Subject to Norms
Salary: Subject to norms

Workplace:
Graduate School of Health
Aarhus University, Nordre Ringgade, Aarhus C, Denmark

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Qualification Details

  • Educational background: MD
  • Practical experience with HaH as a health professional

Responsibilities/Job Description

Frail elderly with an acute disease and need of hospital-level treatment are at risk of further decline of frailty and negative health outcomes when admitted to hospital. Hospitalization proves an upheaval of daily routine and transition between primary and secondary care is vulnerable to this group of patients.

Hospital-at-home (HaH) is an alternative to hospitalization and comply an unmet need of alternatives to admission for frail elderly with an acute condition. The patient group is heterogenous and coordination among hospital-based and community-based healthcare providers in an interorganizational network around the patient, is critical for the provision of seamless, patient-centered and efficient healthcare. This also applies to patient- and relative involvement.

In Aarhus municipality, general practitioners, community-based nurses, and staff from Geriatric Department, Aarhus University Hospital have 12 years of experience with a Hospital-at-Home service which is unique in Denmark and is now an established alternative to hospital admission in the municipality. Facing a dramatic increase in the 80+ year population and re-structuring of Danish health care services with fewer hospital beds, the Aarhus HaH experiences should be evaluated to enable development of guidelines and efforts should be made to further improve the service and upscale and implement HaH in other municipalities.

Main aim:

The aim of this evaluation, employing realist evaluation methodology, is to address the question “What are the components of HaH that work, for whom, how and in what circumstanced? The theory-driven evaluation and findings from this study are expected to generate contextually relevant evidence for improving efficiency and effectiveness of the HaH integrated care model. Armed with an understanding of how measures will produce varying impacts in different circumstances the policy maker and practitioner, we believe, will be better able to implement HaH in other settings. The use of mixed methods in this study allows us to draw on the strength of both qualitative and quantitative methods enhancing the credibility of the evaluation findings

Three studies are planned:

1. Scoping review of hospital-avoidance HaH

2. Descriptive cohort study

3. Qualitative interview, observational and case study

Perspectives: development of evidence based guidelines that can be implemented independently of geography and local health care ensuring equal health for frail elderly.

How to Apply?

Application Method: Online Application
Ref. No.: -

Application Procedure

Please submit your application via this link. Application deadline is 30 November 2022 23:59 CET. Preferred starting date is 1 January 2023.

For information about application requirements and mandatory attachments, please see our application guide

All interested candidates are encouraged to apply, regardless of their personal background. Salary and terms of employment are in accordance with applicable collective agreement.

About the Employer: Aarhus University (AU), Denmark


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Contact details

Please contact Associate Professor Lone Winther Lietzen, [email protected], for further information.

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Published on: | Last Updated: Nov 17, 2022 | at nViews Career by nViews Career Team