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Bjørnelv, Gudrun Maria Waaler; Aas, Eline; Aaltonen, Mari; Hagen, Terje P. & Forma, Leena
(2022).
Place of living during end-of-life according to cause of death:
a comparative analysis from Finland and Norway
.
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Bjørnelv, Gudrun Maria Waaler; Forma, Leena; Hagen, Terje P. & Aas, Eline
(2021).
En komparativ analyse av sammensetningen av helsetjenester, bosituasjon og totale helsetjenestekostnader for personer med kreft ved livets slutt.
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Bjørnelv, Gudrun Maria Waaler; Aas, Eline; Aaltonen, Mari; Hagen, Terje P. & Forma, Leena
(2021).
Place of living during end-of-life according to cause of death: a comparative analysis from Finland and Norway.
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Bjørnelv, Gudrun Maria Waaler; Hagen, Terje P.; Forma, Leena & Aas, Eline
(2021).
Living situation, healthcare utilization and costs at end-of-life for cancer patients in Norway.
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Hagen, Terje P.; Forma, Leena & Aas, Eline
(2021).
En komparativ analyse av sammensetningen av helsetjenester, bosituasjon og totale helsetjenestekostnader for personer med kreft ved livets slutt.
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Hagen, Terje P.
(2021).
Effects of municipal acute wards on hospital admissions: Evaluation of a natural experiment using register data.
Vis sammendrag
Objectives: Norway introduced municipal acute wards (MAWs) as part of the Coordination Reform in 2012 to reduce the number of patients admitted to hospitals. The main objective of the paper is investigate whether implementation of AMUs had a causal effect on hospital admissions.
Methods: We analyzed monthly admission rates in total and by age group for patients admitted with acute and elective conditions at internal medicine and surgical departments by panel data regression technics. Identification of the causal effects were made possible by utilizing the sequential implementation of the MAW. Our data covered all municipalities for the period from 2010 until the end of 2017.
Preliminary results: The sequential implementation of the MAWs started summer 2012. By the beginning of 2016 close to all municipalities had an MAW up and running. The introduction of MAWs was associated with a significant reduction in acute hospital admissions. The effect was strongest for patients above 80 years of age admitted acutely to internal medicine departments. The effects were even stronger if the MAW had physician on duty 24/7 or were located close to a local emergency center.
Conclusion: Our findings suggest that this type of intermediate care is a viable option in an effort to alleviate the burden on hospitals by reducing acute secondary care admission volume.
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Hagen, Terje P.
(2020).
Innovation prosjects in Health Region South-East.
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Hagen, Terje P.
(2018).
Ekspertutvalget: Nye oppgaver til fylkeskommunene.
Plan.
s. 6–11.
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Lehto, Juhani S. & Hagen, Terje P.
(2018).
HEALTH AND SOCIAL CARE SYSTEM REFORM IN FINLAND perspectives on private insurance and private hospitals.
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Hagen, Terje P.
(2018).
Privatisering av helsetjenester i Norden - hovedkonklusjoner.
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Tjerbo, Trond; Hagen, Terje P. & Monkerud, Lars Chr.
(2017).
Is there a health political budget cycle? An analysis of growth in health expenditure in election years for OECD countries.
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Moger, Tron Anders; Häkkinen, Unto & Hagen, Terje P.
(2017).
Higher mortality among ACS patients in Finland than in Norway: Do differences in acute preparedness and scale effects in hospital treatment explain the variation?
Vis sammendrag
Background: Mortality differences following hospital treatment in Finland and Norway are similar for major diseases with acute coronary syndrome (ACS) as an important exception. For ACS, mortality in Finland is significantly higher than in Norway.
Objective: To study whether the differences in the organization of the PCI facilities, a decentralized structure with reduced emergency preparedness and small scale production in Finland vs. a centralized structure with large PCI departments performing acute services 24/7 in Norway, add to the explanations of country differences in 30 and 365 day all-cause mortality for patients hospitalized with ACS (acute myocardial infarction or unstable angina pectoris).
Data and methods: Data for patients discharged with acute myocardial infarction (ICD 10 I21 and I22) and unstable angina pectoris (ICD 10 I 20.0) from the hospital discharge registers in 2009-2014 was linked with socio-demographic variables, variables describing distances to hospitals and causes of death registers in Norway and Finland. The variables of main interest, emergency preparedness of PCI and the volume of ACS patients at hospital level were included as independent variables in logistic regression analyses.
Preliminary results: Across all years combined, Norway had lower 30 and 365 days mortality (7% vs 11%, p<0.001 and 14% vs 20%, p<0.001). However, differences for STEMI patients were smaller (30 days: 10% vs 12%, p<0.001, 365 days: 17% vs 18%, p=0.01) than for non-STEMI, undefined and unstable angina patients (30 days: 6% vs 10%, p<0.001, 365 days: 13% vs 20%, p<0.001). The average Finnish patient was first admitted to a hospital treating 540 ACS patients per year (average travel time by car: 40 min), increasing to 590 patients (travel time: 43 min) during the first episode including transfers to higher level hospitals. Corresponding numbers for Norway were 630 ACS patients per year for the first admission (travel time: 60 min) and 1240 patients (!) for the first episode (travel time: 96 min). In Finland, 48% of STEMI and 39% of non-STEMI, undefined and unstable angina patients were admitted to hospitals with an emergency PCI service during the episode. The corresponding numbers for Norway were 77% and 66%. However, more patients received PCI within 2 days in Finland than Norway (38% vs. 33%, p<0.001), and the distribution of PCIs performed during weekends was similar (23% vs. 23%, p=0.55). Both in Norway and Finland non-STEMI patients who not receive PCI have a significantly lower mortality if they are treated at hospital with PCI facility than at other hospitals (OR 0.65 in Norway and 0.73 in Finland for 365 days mortality, p<0.001). This may indicate better quality at high volume centers.
Further work: Multilevel logistic models with individual level risk adjustment and hospital level variables and random effects are going to be used to study if the reduced preparedness for PCI at some of the Finnish hospitals and differences in organization of care for ACS patients add to our understanding of mortality differences between Finland and Norway.
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Swanson, Jayson O. J; Vogt, Verena; Sundmacher, Leonie; Hagen, Terje P. & Moger, Tron Anders
(2017).
Continuity of care and its effect on readmissions for COPD patients: A comparative study of Norway and Germany.
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Häkkinen, Unto; Hagen, Terje P. & Moger, Tron Anders
(2017).
Performance comparison of hip fracture pathways in two metropolitan areas - does the level of integration matter?
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Moger, Tron Anders; Häkkinen, Unto & Hagen, Terje P.
(2017).
Higher mortality among ACS patients in Finland than in Norway: Do differences in acute services and scale effects in hospital treatment explain the variation?
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Hagen, Terje P.
(2017).
Privatisering på norsk. Anbudskonkurranser, seleksjon og kvalitet i en skattefinansiert helsetjeneste.
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Holom, Geir Hiller; Alexandersen, Nina & Hagen, Terje P.
(2017).
Which patients receive surgery in for-profit and non-profit hospitals in a universal Health system? An explorative register-based study.
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Hagen, Terje P. & Iversen, Tor
(2016).
EuroHOPE – sammenligning av helseutfall og behandlingskostnader mellom sju europeiske land.
BestPractice.
s. 17–19.
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Hagen, Terje P.; Iversen, Tor & Moger, Tron Anders
(2016).
T.P. Hagen og medarbeidere svarer:.
Tidsskrift for Den norske legeforening.
ISSN 0029-2001.
136(8),
s. 690–690.
doi:
10.4045/tidsskr.16.0331.
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Alexandersen, Nina; Hagen, Terje P. & Kaarbøe, Oddvar Martin
(2016).
Hvilke bedrifter kjøper private helseforsikringer i Norge?
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Swanson, Jayson O. J & Hagen, Terje P.
(2015).
Reinventing the Community Hospital.
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Swanson, Jayson O. J & Hagen, Terje P.
(2015).
Reinventing the Community Hospital.
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Hagen, Terje P.
(2015).
Prossessevalueringen av Samhandlingsreformen: Statlige virkemidler, kommunale innovasjoner.
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Hagen, Terje P.
(2015).
Makt, media og mortalitet: Noen erfaringer fra evalueringen av Samhandlingsreformen.
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Hagen, Terje P.
(2015).
Kommunale akutte døgnenheter (KAD). Resultater fra følgeforskning.
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Hagen, Terje P.
(2015).
Samhandlingsreformen etter fire år. Hva kan vi lære og hvem kan vi lære av.
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Saltman, Richard B.; Hagen, Terje P. & Vrangbæk, Karsten
(2015).
New Strategies for Elderly Care in Denmark and Norway.
Eurohealth.
ISSN 1356-1030.
21(2),
s. 23–25.
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Holom, Geir Hiller & Hagen, Terje P.
(2015).
Patient selection and quality in total hip arthroplasty among patients treated at private for-profit, private non-profit and public hospitals.
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Holom, Geir Hiller & Hagen, Terje P.
(2015).
Kostnader, pasientseleksjon og kvalitet - en sammenligning mellom offentlige og private sykehus.
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Hagen, Terje P.
(2014).
Foreløpige erfaringer med Samhandlingsreformen.
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Hagen, Terje P.
(2014).
Hva har vi lært og hvordan gå videre?
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Hagen, Terje P.
(2014).
Hva kan vi si om effektene av kommunale akutte døgnenheter?
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Hagen, Terje P.
(2014).
Reduserer kommunale akutte døgnenheter (KAD) antall innleggelsen av eldre pasienter ved somatiske sykehus?
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Hagen, Terje P.
(2014).
Reinventing the “cottage hospital”: Did implementation of municipal acute bed units reduce the demand for hospital admissions?
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Hagen, Terje P.
(2014).
The Norwegian strategy for developing better integrated and less expensive long term care services.
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Botten, Grete; Frich, Jan C; Hagen, Terje P.; Iversen, Tor & Nordby, Halvor
(2014).
Helsetjenestens nye logikk: fortsatt målrettet mangfold.
I Botten, Grete Synøve; Frich, Jan C; Hagen, Terje P.; Iversen, Tor & Nordby, Halvor (Red.),
Helsetjenestens nye logikk.
Akademika forlag.
ISSN 978-82-321-0348-5.
s. 13–22.
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Hagen, Terje P. & Kaarbøe, Oddvar Martin
(2020).
Har bedriftenes kjøp av private helseforsikringer effekter for sykefraværet?
Universitetet.
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Ambugo, Eliva; Hoel, Viktoria & Hagen, Terje P.
(2018).
[*Report]: “Sustainable tailored integrated care for older people in Europe (SUSTAIN-project): Lessons learned from improving integrated care in Norway.” .
SUSTAIN consortium.
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Häkkinen, Unto; Engel-Andreasen, Christopher; Hagen, Terje P.; Goude, Fanny; Moger, Tron Anders & Kruse, Marie
[Vis alle 8 forfattere av denne artikkelen]
(2018).
Performance comparison of patient pathways in Nordic capital areas. A pilot study.
THL.
ISSN 978-952-343-134-8.
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Ambugo, Eliva Atieno; Hagen, Terje P. & Vaage, Silje Kathrine Hofgaard
(2016).
[*Report]: “Current situation and the ambition of sites participating in the SUSTAIN project: Norway.” In P. Wosko & G. Ruppe (Eds.), Integrated care for older people living at home: Current situation and ambition of sites participating in the SUSTAIN project.
Austrian Interdisciplinary Platform on Ageing / OEPIA.
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Lappegard, Øystein; Hagen, Terje P. & Hjortdal, Per
(2016).
Acute admissions to a community hospital: a descriptive cost study.
Institutt for helse og samfunn, Universitetet i Oslo.
ISSN 1501-9071.
2016(9).
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Kaarbøe, Oddvar Martin; Hagen, Terje P. & Aleksandersen, Nina
(2016).
Hvilke bedrifter kjøper private helseforsikringer i Norge?
7Letras.
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Swanson, Jayson O. J; Hagen, Terje P. & Alexandersen, Nina
(2016).
Førte opprettelsen av kommunale akutte døgnenheter til færre innleggelser ved somatiske sykehus? HERO working paper 1/2016.
Universitetet i Oslo.
ISSN 978-82-7756-251-3.
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Olsen, Camilla Beck & Hagen, Terje P.
(2015).
Kommunenes respons på Samhandlingsreformen.
HELED.
2015(1).
Fulltekst i vitenarkiv
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Hagen, Terje P.; McArthur, David & Tjerbo, Trond
(2015).
Resultatevaluering av Omsorgsplan 2015: Kommunenes drifts- og investeringsbeslutninger.
Institutt for helse og samfunn, Universitetet i Oslo.
ISSN 978-82-7756-248-3.
2015(4).