Effect of hospitalists on length of stay in the medicare population: variation according to hospital and patient characteristics.
Effect of hospitalists on length of stay in the medicare population: variation according to hospital and patient characteristics.
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DOI：
10.1111/j.1532-5415.2010.03007.x
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发表时间：
2010-09
影响因子：
6.3
通讯作者：
Goodwin JS
中科院分区：
文献类型：
--
作者：
Kuo YF;Goodwin JS
评估住院医师护理相关的住院时间缩短如何因患者和医院特征而异，并探讨这些住院时间缩短是否随医疗保险人群的时间而变化。回顾性队列研究，使用来自全国5%的医疗保险受益人样本的数据。医院为了研究时间趋势，使用了2001年至2006年美国5036家医院的1，981，654名医疗保险住院患者。为了研究患者和医院特征的影响，2006年使用了314，590例住院病例。住院时间。在控制患者和医院特征的多变量分析中，与住院医生护理相关的住院时间减少从2001-02年的0.02天增加到2003-04年的0.22天，2005-06年的0.35天。对于2006年的入院，住院时间的缩短在老年患者和DRG重量较高的患者中更大。医疗DRGs的减少是外科DRGs的三倍，非营利性医院与营利性医院相比，社区医院与教学医院相比，住院时间减少得更多。在社区医院接受护理的老年、复杂、非手术患者中，与住院治疗相关的住院时间缩短似乎最多。
To assess how reductions in length of stay associated with hospitalist care vary by patient and hospital characteristics and explore whether these reductions in length of stay changed over time in the Medicare population. Retrospective cohort study using data from a 5% national sample of Medicare beneficiaries. Hospital. To examine temporal trends, 1,981,654 Medicare admissions in 2001 to 2006 at 5036 U.S. hospitals were used. To examine the influence of patient and hospital characteristics, 314,590 admissions in 2006 were used. Hospital length of stay. In multivariable analyses controlling for patient and hospital characteristics, the reductions in length of stay associated with hospitalist care increased from 0.02 days in 2001-02 to 0.22 days in 2003-04, and 0.35 days in 2005-06. For 2006 admissions, reductions in length of stay were greater in older patients and patients with a higher DRG weight. The reductions were three times greater for medical than for surgical DRGs, with greater reductions in length of stay at non-profit vs. for profit hospitals, and at community vs. teaching hospitals. The reductions in length of stay associated with hospitalist care would appear to be greatest in older, complicated, non-surgical patients cared for at community hospitals.
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影响因子：
--
作者：
Phy, MP;Vanness, DJ;Huddleston, JM
通讯作者：
Huddleston, JM
影响因子：
158.5
作者：
Kuo, Yong-Fang;Sharma, Gulshan;Goodwin, James S.
通讯作者：
Goodwin, James S.
影响因子：
--
作者：
Sharma, Gulshan;Kuo, Yong-Fang;Goodwin, James S.
通讯作者：
Goodwin, James S.
影响因子：
5.7
作者：
Rifkin, WD;Holmboe, E;Sierra, H
通讯作者：
Sierra, H
DOI：
10.7326/0003-4819-127-8_part_2-199710151-00064
发表时间：
1997-10-15
影响因子：
39.2
作者：
Rubin, DB
通讯作者：
Rubin, DB