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Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study

BACKGROUND: Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail he...

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Autores principales: van Oostveen, Catharina J, Vermeulen, Hester, Gouma, Dirk J, Bakker, Piet J, Ubbink, Dirk T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599528/
https://www.ncbi.nlm.nih.gov/pubmed/23379756
http://dx.doi.org/10.1186/1472-6963-13-42
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author van Oostveen, Catharina J
Vermeulen, Hester
Gouma, Dirk J
Bakker, Piet J
Ubbink, Dirk T
author_facet van Oostveen, Catharina J
Vermeulen, Hester
Gouma, Dirk J
Bakker, Piet J
Ubbink, Dirk T
author_sort van Oostveen, Catharina J
collection PubMed
description BACKGROUND: Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail healthcare professionals and managers in determining the demand and costs for clinical care. METHODS: Six surgical wards in a Dutch university hospital participated in this prospective time and motion study. Surgeons, nurses and paramedics recorded the time spent on patient care 24/7 by means of PDAs. The investigators extracted possible determining characteristics from a previous systematic review and expert focus group. Total amount of care needed by the patients was expressed as costs involved in medical and nursing time, surgical interventions and diagnostics. Afterwards the investigators applied linear regression analysis to detect significant independent characteristics. RESULTS: 174 Surgical patients were monitored during their hospital stay. Characteristics significantly influencing the consumed amount of care were: medication during hospitalisation, complications, co-morbidity, medical specialty, age, as well as undergoing surgery and length of stay. Median costs for care were €8.446 per patient admission. CONCLUSIONS: The investigators developed a model that explains the total demand and costs of care needed for surgical patients in a university hospital. The input for this instrument can be derived from readily available data in hospital databases. This makes it a relatively easy instrument to help healthcare professionals and managers appreciate the amount of care needed on (surgical) wards and may be used to appreciate trends in time.
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spelling pubmed-35995282013-03-17 Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study van Oostveen, Catharina J Vermeulen, Hester Gouma, Dirk J Bakker, Piet J Ubbink, Dirk T BMC Health Serv Res Research Article BACKGROUND: Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail healthcare professionals and managers in determining the demand and costs for clinical care. METHODS: Six surgical wards in a Dutch university hospital participated in this prospective time and motion study. Surgeons, nurses and paramedics recorded the time spent on patient care 24/7 by means of PDAs. The investigators extracted possible determining characteristics from a previous systematic review and expert focus group. Total amount of care needed by the patients was expressed as costs involved in medical and nursing time, surgical interventions and diagnostics. Afterwards the investigators applied linear regression analysis to detect significant independent characteristics. RESULTS: 174 Surgical patients were monitored during their hospital stay. Characteristics significantly influencing the consumed amount of care were: medication during hospitalisation, complications, co-morbidity, medical specialty, age, as well as undergoing surgery and length of stay. Median costs for care were €8.446 per patient admission. CONCLUSIONS: The investigators developed a model that explains the total demand and costs of care needed for surgical patients in a university hospital. The input for this instrument can be derived from readily available data in hospital databases. This makes it a relatively easy instrument to help healthcare professionals and managers appreciate the amount of care needed on (surgical) wards and may be used to appreciate trends in time. BioMed Central 2013-02-04 /pmc/articles/PMC3599528/ /pubmed/23379756 http://dx.doi.org/10.1186/1472-6963-13-42 Text en Copyright ©2013 van Oostveen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
van Oostveen, Catharina J
Vermeulen, Hester
Gouma, Dirk J
Bakker, Piet J
Ubbink, Dirk T
Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
title Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
title_full Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
title_fullStr Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
title_full_unstemmed Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
title_short Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
title_sort explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599528/
https://www.ncbi.nlm.nih.gov/pubmed/23379756
http://dx.doi.org/10.1186/1472-6963-13-42
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