253 432

Cited 3 times in

Association between human resources and risk of hospitalisation in end-stage renal disease outpatients receiving haemodialysis: a longitudinal cohort study using claim data during 2013-2014

DC Field Value Language
dc.contributor.author남정모-
dc.contributor.author박은철-
dc.date.accessioned2017-10-26T07:17:17Z-
dc.date.available2017-10-26T07:17:17Z-
dc.date.issued2016-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151838-
dc.description.abstractOBJECTIVE: The number of patients requiring haemodialysis has gradually increased in South Korea. Owing to this growth, concerns have been raised regarding haemodialysis quality of care, and healthcare professionals must consider alternatives for appropriate management of patients with chronic kidney disease (CKD). Therefore, we investigated the association between risk of hospitalisation of outpatients who received haemodialysis due to end-stage renal disease (ESRD) and the human resources of the haemodialysis unit. SETTING: We used data from National Health Insurance (NHI) claims during October 2013 to September 2014. PARTICIPANTS: These data comprised 40?543 outpatients with ESRD (4?751?047 outpatient cases) who received haemodialysis. INTERVENTIONS: No interventions were made. OUTCOME MEASURE: We performed Poisson regression analysis using a generalised estimating equation that included both patient and haemodialysis unit characteristics to examine the factors associated with hospitalisation of outpatients with ESRD. RESULTS: Among 4?751?047 outpatient cases, 27?997 (0.59%) were hospitalised during the study period. A higher proportion of haemodialysis patient care specialists and a higher number of nurses experienced in haemodialysis were inversely associated with the risk of hospitalisation (per 10% increase in haemodialysis patient care specialists: relative risk (RR)=0.987, 95% CI 0.981 to 0.993; per 10-person increase in nurses who provided haemodialysis: RR=0.876, 95% CI 0.833 to 0.921). In addition, such associations were greater in severe patients. CONCLUSIONS: Our findings suggest that haemodialysis units with high-quality, haemodialysis-specialised human resources could positively affect the outcomes of outpatients with ESRD. Based on our findings, health policymakers and professionals should implement strategies for the optimal management of patients with CKD.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.publisherBMJ Publishing Group Ltd-
dc.relation.isPartOfBMJ OPEN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAmbulatory Care/statistics & numerical data-
dc.subject.MESHDelivery of Health Care/standards-
dc.subject.MESHFemale-
dc.subject.MESHHealth Resources/supply & distribution*-
dc.subject.MESHHospitalization/statistics & numerical data-
dc.subject.MESHHumans-
dc.subject.MESHKidney Failure, Chronic/therapy*-
dc.subject.MESHLongitudinal Studies-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOutcome and Process Assessment (Health Care)-
dc.subject.MESHQuality Assurance, Health Care-
dc.subject.MESHRenal Dialysis/statistics & numerical data*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRisk Factors-
dc.subject.MESHTreatment Outcome-
dc.titleAssociation between human resources and risk of hospitalisation in end-stage renal disease outpatients receiving haemodialysis: a longitudinal cohort study using claim data during 2013-2014-
dc.typeArticle-
dc.publisher.locationEngland-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Preventive Medicine-
dc.contributor.googleauthorHoon-Hee Choi-
dc.contributor.googleauthorKyu-Tae Han-
dc.contributor.googleauthorChung Mo Nam-
dc.contributor.googleauthorKi Tae Moon-
dc.contributor.googleauthorWoorim Kim-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.1136/bmjopen-2016-011319-
dc.contributor.localIdA01618-
dc.contributor.localIdA01264-
dc.relation.journalcodeJ00380-
dc.identifier.eissn2044-6055-
dc.relation.journalsince2011~-
dc.identifier.pmid27534988-
dc.subject.keywordchronic kidney disease-
dc.subject.keywordhealth outcome-
dc.subject.keywordhealthcare quality assessment-
dc.subject.keywordhemodialysis-
dc.contributor.alternativeNameNam, Jung Mo-
dc.contributor.alternativeNamePark, Eun Chul-
dc.contributor.affiliatedAuthorPark, Eun Chul-
dc.contributor.affiliatedAuthorNam, Jung Mo-
dc.citation.volume6-
dc.citation.startPage011319-
dc.identifier.bibliographicCitationBMJ OPEN, Vol.6 : 011319, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid46163-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.