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Positive effects of medical staffing on readmission within 30 days after discharge: a retrospective analysis of obstetrics and gynecology data

Authors
 Seung Ju Kim  ;  Kyu-Tae Han  ;  Hyo Jung Lee  ;  Jeoung A Kwon  ;  Eun-Cheol Park 
Citation
 EUROPEAN JOURNAL OF PUBLIC HEALTH, Vol.26(6) : 935-939, 2016 
Journal Title
 EUROPEAN JOURNAL OF PUBLIC HEALTH 
ISSN
 1101-1262 
Issue Date
2016
MeSH
Adult ; Female ; Gynecology/organization & administration* ; Health Care Rationing ; Humans ; Insurance Claim Review ; Medical Staff, Hospital/organization & administration ; Middle Aged ; National Health Programs ; Nursing Staff, Hospital/organization & administration ; Obstetrics/organization & administration* ; Patient Readmission/statistics & numerical data* ; Personnel Staffing and Scheduling/organization & administration* ; Quality of Health Care/organization & administration* ; Republic of Korea ; Retrospective Studies
Keywords
quality of care ; cesarean section ; nurses ; obstetrics and gynecology department ; patient readmission ; personnel staffing and scheduling ; uterus ; risk reduction ; quality improvement
Abstract
BACKGROUND: Improving quality of care is a major healthcare goal; however, the relationship between limited resources and appropriate healthcare distribution has always been problematic. Planning for resource shortages is important for improving healthcare quality. The aim of our study was to evaluate the effects of manpower planning on improvements in quality of care by estimating the effects of medical staffing on readmission within 30 days after discharge. METHODS: We conducted an observational study using 2011-14 National Health Claim data from 692 hospitals and 633 461 admissions. The database included information on uterine (including adnexa) procedures (195 270 cases) and cesarean deliveries (438 191 cases). The outcome variable was readmission within 30 days after discharge. A generalized estimating equation model was used to evaluate associations between readmission and medical staffing. RESULTS: The number of doctors and the proportion of registered nurses (RNs) were significantly associated with a lower risk of readmission within 30 days (proportion of RNs, Relative Risk (RR): 0.97, P values: 0.0025; number of doctors, RR: 0.96, P values: <0.0001). The number of nurses (RNs + licensed practical nurses) was not associated with readmission within 30 days (RR: 1.01, P values: <0.0001). CONCLUSION: Our results suggested that higher numbers of doctors and higher proportions of RNs were positively correlated with a lower risk of readmission within 30 days. Human resource planning to solve manpower shortages should carefully consider the qualitative aspects of clinical care and include long-term planning.
Full Text
https://academic.oup.com/eurpub/article-lookup/doi/10.1093/eurpub/ckw102
DOI
10.1093/eurpub/ckw102
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152764
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