WHY DOES LENGTH OF STAY VARY FOR ORTHOPEDIC-SURGERY

被引:10
作者
CAIRNS, JA
MUNRO, J
机构
[1] however, the opinions expressed in this article are those of the authors, not SOHHD., Department of Public Health, University of Aberdeen, Aberdeen, Scotland
关键词
LENGTH OF STAY; ORTHOPEDIC SURGERY; PRACTICE VARIATION;
D O I
10.1016/0168-8510(92)90003-T
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study examines the variation in length of stay in orthopaedic surgery in Grampian in 1988. It highlights the extent of variability across clinicians for patients with the same condition. The results indicate the importance of patient's age, type of admission and Diagnosis-Related Group. The inclusion of variables to identify the consultant in charge significantly improves the explanatory power of the model for all of the seven conditions investigated.
引用
收藏
页码:297 / 306
页数:10
相关论文
共 12 条
[1]  
ANDRSEN TF, 1990, CHALLENGE MED PRACTI
[2]   LENGTH-OF-STAY VARIATIONS WITHIN ICDA-8 DIAGNOSIS-RELATED GROUPS [J].
BERKI, SE ;
ASHCRAFT, MLF ;
NEWBRANDER, WC .
MEDICAL CARE, 1984, 22 (02) :126-142
[3]   THE EFFECTS OF PATIENT, HOSPITAL, AND PHYSICIAN CHARACTERISTICS ON LENGTH OF STAY AND MORTALITY [J].
BURNS, LR ;
WHOLEY, DR .
MEDICAL CARE, 1991, 29 (03) :251-271
[4]  
CANNOODT LJ, 1984, HEALTH SERV RES, V19, P561
[5]   DO THE POOR COST MORE - A MULTIHOSPITAL STUDY OF PATIENTS SOCIOECONOMIC-STATUS AND USE OF HOSPITAL RESOURCES [J].
EPSTEIN, AM ;
STERN, RS ;
WEISSMAN, JS .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (16) :1122-1128
[6]   FIRM, PATIENT, AND PROCESS VARIABLES ASSOCIATED WITH LENGTH OF STAY IN 4 DISEASES [J].
FERNOW, LC ;
MCCOLL, I ;
MACKIE, C .
BMJ-BRITISH MEDICAL JOURNAL, 1978, 1 (6112) :556-559
[7]  
GOLDFARB MG, 1983, MED CARE, V21, P48
[8]  
Judge, 1988, INTRO THEORY PRACTIC
[9]  
KENNEY G, 1990, INQUIRY-J HEALTH CAR, V27, P73
[10]   VARIATION IN RESOURCE USE WITHIN DIAGNOSIS-RELATED GROUPS - THE EFFECT OF SEVERITY OF ILLNESS AND PHYSICIAN PRACTICE [J].
MCMAHON, LF ;
NEWBOLD, R .
MEDICAL CARE, 1986, 24 (05) :388-397