Document Detail


Examining the discharge practices of surgeons at a large medical center.
MedLine Citation:
PMID:  21674142     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We investigate the discharge practices at a large medical center. Specifically, we look for indications that patients are being discharged sooner because of hospital bed-capacity constraints. Using survival analysis techniques, we find statistically significant evidence to indicate that surgeons adjust their discharge practices to accommodate the surgical schedule and number of available recovery beds. We find higher discharge rates on days when utilization is high. We also find an increased discharge rate on days when more surgeries are scheduled. Our findings suggest that discharge decisions are made with bed-capacity constraints in mind. We discuss possible explanations for this, as well as the medical and managerial implications of our findings.
Authors:
David Anderson; Carter Price; Bruce Golden; Wolfgang Jank; Edward Wasil
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-15
Journal Detail:
Title:  Health care management science     Volume:  -     ISSN:  1386-9620     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815649     Medline TA:  Health Care Manag Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
R.H. Smith School of Business, University of Maryland, College Park, MD, 20742, USA.
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