医院医师对平均住院时间的影响。

The Effect of Hospitalists on Average Length of Stay.

机构信息

principal, KV Healthcare Solutions, Houston, Texas director, MHA Program, and professor, David Eccles School of Business, University of Utah, Salt Lake City associate professor, Department of Biostatistics, School of Public Health, University of Alabama at Birmingham professor, Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham.

出版信息

J Healthc Manag. 2019 May-Jun;64(3):169-184. doi: 10.1097/JHM-D-18-00042.

DOI:10.1097/JHM-D-18-00042

PMID:31999267

Abstract

Hospitals experiencing financial pressures are seeking to gain efficiencies through innovation. One solution is to engage hospitalists to help reduce the average length of stay (ALOS). This study considers whether and to what extent hospitalists affect ALOS and whether an association exists between the number of hospitalists per occupied bed (density) and ALOS. We examined 2,858 hospitals nationwide, including 20,180 hospital-years of data from 2007 through 2015 derived from the American Hospital Association Annual Survey database. Key findings showed that hospitals using hospitalists reported a statistically significant shorter ALOS than hospitals without hospitalists. The results also indicated a statistically significant decrease in ALOS for an increase in hospitalist full-time equivalent per occupied bed. This study is important because of the generalizability of its results and suggests that hospitals may form partnerships with hospitalists to improve hospital efficiency.

摘要

面临财务压力的医院正在寻求通过创新来提高效率。一种解决方案是聘请医院管理人员来帮助缩短平均住院时间（ALOS）。本研究考虑了医院管理人员是否以及在何种程度上影响了 ALOS，以及医院管理人员与每间占用病床的数量（密度）之间是否存在关联。我们研究了全国范围内的 2858 家医院，包括 2007 年至 2015 年期间从美国医院协会年度调查数据库中获得的 20180 个医院年的数据。研究结果表明，使用医院管理人员的医院报告的平均住院时间明显短于没有医院管理人员的医院。结果还表明，每间占用病床的全职等效医院管理人员增加，ALOS 会出现统计学上的显著下降。本研究很重要，因为其结果具有普遍性，并表明医院可能会与医院管理人员建立合作关系以提高医院效率。