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European Journal of Public Health
Article . 2016 . Peer-reviewed
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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;

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

Abstract

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.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.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).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.

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Keywords

Adult, National Health Programs, Personnel Staffing and Scheduling, 610, Obstetrics/organization & administration*, Nursing Staff, Hospital, Personnel Staffing and Scheduling/organization & administration*, nurses, Patient Readmission, Hospital/organization & administration, quality improvement, patient readmission, 618, Insurance Claim Review, quality of care, Republic of Korea, Medical Staff, Medical Staff, Hospital, Humans, Patient Readmission/statistics & numerical data*, personnel staffing and scheduling, risk reduction, Quality of Health Care, Retrospective Studies, Health Care Rationing, cesarean section, uterus, Middle Aged, Obstetrics, obstetrics and gynecology department, Gynecology, Quality of Health Care/organization & administration*, Nursing Staff, Female, Gynecology/organization & administration*

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
10
Top 10%
Average
Average
Green
bronze