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

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dc.contributor.author박은철-
dc.date.accessioned2017-10-26T07:58:39Z-
dc.date.available2017-10-26T07:58:39Z-
dc.date.issued2016-
dc.identifier.issn1101-1262-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152764-
dc.description.abstractBACKGROUND: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherOxford University Press-
dc.relation.isPartOfEUROPEAN JOURNAL OF PUBLIC HEALTH-
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.MESHFemale-
dc.subject.MESHGynecology/organization & administration*-
dc.subject.MESHHealth Care Rationing-
dc.subject.MESHHumans-
dc.subject.MESHInsurance Claim Review-
dc.subject.MESHMedical Staff, Hospital/organization & administration-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNational Health Programs-
dc.subject.MESHNursing Staff, Hospital/organization & administration-
dc.subject.MESHObstetrics/organization & administration*-
dc.subject.MESHPatient Readmission/statistics & numerical data*-
dc.subject.MESHPersonnel Staffing and Scheduling/organization & administration*-
dc.subject.MESHQuality of Health Care/organization & administration*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.titlePositive effects of medical staffing on readmission within 30 days after discharge: a retrospective analysis of obstetrics and gynecology data-
dc.typeArticle-
dc.publisher.locationEngland-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Preventive Medicine-
dc.contributor.googleauthorSeung Ju Kim-
dc.contributor.googleauthorKyu-Tae Han-
dc.contributor.googleauthorHyo Jung Lee-
dc.contributor.googleauthorJeoung A Kwon-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.1093/eurpub/ckw102-
dc.contributor.localIdA01618-
dc.relation.journalcodeJ02863-
dc.identifier.eissn1464-360X-
dc.identifier.pmid27411559-
dc.identifier.urlhttps://academic.oup.com/eurpub/article-lookup/doi/10.1093/eurpub/ckw102-
dc.subject.keywordquality of care-
dc.subject.keywordcesarean section-
dc.subject.keywordnurses-
dc.subject.keywordobstetrics and gynecology department-
dc.subject.keywordpatient readmission-
dc.subject.keywordpersonnel staffing and scheduling-
dc.subject.keyworduterus-
dc.subject.keywordrisk reduction-
dc.subject.keywordquality improvement-
dc.contributor.alternativeNamePark, Eun Chul-
dc.contributor.affiliatedAuthorPark, Eun Chul-
dc.citation.volume26-
dc.citation.number6-
dc.citation.startPage935-
dc.citation.endPage939-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF PUBLIC HEALTH, Vol.26(6) : 935-939, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid39772-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers

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