کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8817900 1609007 2018 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The relationship between workload and length of stay in Singapore
ترجمه فارسی عنوان
رابطه بین حجم کار و طول اقامت در سنگاپور
کلمات کلیدی
حجم کار پزشکان، مدت اقامت، مرگ و میر بستری 30 روز بستری مجدد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
Prior studies link higher workload with longer length of stay (LOS) in the US. Unlike U.S. hospitals, Singaporean hospitals, like other major hospitals in the Asia-Pacific, are partially occupied by patients with non-acute needs due to insufficient alternative facilities. We examined the association between workload and length of stay (LOS) and the impact of workload on 30-day re-hospitalization and inpatient mortality rates in retrospective cohort in this setting. We defined workload as the daily number of patients per physician team. 13,097 hospitalizations of 10,000 patients were included. We found that higher workload was associated with shorter LOS (coefficient, −0.044 [95%CI, −0.083, −0.01]), especially for patients with longer stays (hazard ratios, not significantly greater than 1 before Day 4, 1.04 [95%CI, 1.01, 1.07] at Day 4 and 1.16 [95%CI, 1.10, 1.24] at Day 10), without affecting inpatient mortality (odds ratio (OR), 1.03 [95%CI, 0.99, 1.05]) or 30-day re-hospitalization (OR, 1.01 [95%CI, 0.99, 1.04]). This result differs from studies in the US and may reflect regional differences in the use of acute hospital beds for non-acute needs.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 122, Issue 7, July 2018, Pages 769-774
نویسندگان
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