Evidence map›Paper›PMID 25608889›Full record

ArticleBMC health services research2015

Quantifying the demand for hospital care services: a time and motion study.

Catharina J van Oostveen, Dirk J Gouma, Piet J Bakker, Dirk T Ubbink

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  3. Review
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  7. Nurses' Time Allocation and Multitasking of Nursing Activities: A Time Motion Study.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Catharina J van OostveenDepartment of Quality Assurance & Process Innovation, Academic Medical Center, P.O box 22700, 1100 DE, Amsterdam, The Netherlands. c.j.vanoostveen@amc.nl.
Dirk J GoumaDepartment of Surgery, Academic Medical Center, Room G4-130, P.O box 22700, 1100 DE, Amsterdam, The Netherlands. d.j.gouma@amc.nl.
Piet J BakkerDepartment of Quality Assurance & Process Innovation, Academic Medical Center, P.O box 22700, 1100 DE, Amsterdam, The Netherlands. p.j.bakker@amc.nl.
Dirk T UbbinkDepartment of Quality Assurance & Process Innovation, Academic Medical Center, P.O box 22700, 1100 DE, Amsterdam, The Netherlands. d.ubbink@amc.nl.
Academic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe actual amount of care hospitalised patients need is unclear. A model to quantify the demand for hospital care services among various clinical specialties would avail healthcare professionals and managers to anticipate the demand and costs for clinical care.

methodsThree medical specialties in a Dutch university hospital participated in this prospective time and motion study. To include a representative sample of patients admitted to clinical wards, the most common admission diagnoses were selected from the most recent update of the national medical registry (LMR) of ICD-10 admission diagnoses. The investigators recorded the time spent by physicians and nurses on patient care. Also the costs involved in medical and nursing care, (surgical) interventions, and diagnostic procedures as an estimate of the demand for hospital care services per hospitalised patient were calculated and cumulated. Linear regression analysis was applied to determine significant factors including patient and healthcare outcome characteristics.

resultsFifty patients on the Surgery (19), Pediatrics (17), and Obstetrics & Gynecology (14) wards were monitored during their hospitalization. Characteristics significantly associated with the demand for healthcare were: polypharmacy during hospitalization, complication severity level, and whether a surgical intervention was performed.

conclusionsA set of predictors of the demand for hospital care services was found applicable to different clinical specialties. These factors can all be identified during hospitalization and be used as a managerial tool to monitor the patients' demand for hospital care services and to detect trends in time.

Indexed as

AdultEpidemiologic MethodsFemaleHealth Services Needs and DemandHospitalizationHospitalsHumansMaleMiddle AgedNetherlandsPatient CarePatient SatisfactionTime and Motion Studies

Identifiers

PMID25608889
PMCPMC4311505
OpenAlexW2159955919

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.