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Volumn 5, Issue 3, 1996, Pages 172-179

Why are we trying to reduce length of stay? Evaluation of the costs and benefits of reducing time in hospital must start from the objectives that govern the change

Author keywords

[No Author keywords available]

Indexed keywords

COST BENEFIT ANALYSIS; EVALUATION; LENGTH OF STAY; REVIEW; UNITED KINGDOM;

EID: 0030237048     PISSN: 09638172     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.5.3.172     Document Type: Review
Times cited : (70)

References (60)
  • 1
    • 84965255162 scopus 로고
    • The dangers of going to bed
    • Asher RAJ. The dangers of going to bed. BMJ 1947; ii:867-8.
    • (1947) BMJ , vol.2 , pp. 867-868
    • Asher, R.A.J.1
  • 2
    • 84965325336 scopus 로고
    • Early rising after operation
    • Editorial
    • Editorial. Early rising after operation. BMJ 1948;ii:1026-7.
    • (1948) BMJ , vol.2 , pp. 1026-1027
  • 3
    • 3242777470 scopus 로고
    • Hotels or hospitals?
    • Stallworthy JA. Hotels or hospitals? Lancet 1960;i:103-6.
    • (1960) Lancet , vol.1 , pp. 103-106
    • Stallworthy, J.A.1
  • 4
  • 6
    • 0025850595 scopus 로고
    • Trends in length of stay and rates of readmission in Massachusetts: Implications for monitoring quality of care
    • Epstein AM, Bogen J, Dreyer P, Thorpe KE. Trends in length of stay and rates of readmission in Massachusetts: implications for monitoring quality of care. Inquiry 1991;28:19-28.
    • (1991) Inquiry , vol.28 , pp. 19-28
    • Epstein, A.M.1    Bogen, J.2    Dreyer, P.3    Thorpe, K.E.4
  • 7
    • 0022648591 scopus 로고
    • Why has hospital length of stay declined? An evaluation of alternative theories
    • Sloan FA, Valvona J. Why has hospital length of stay declined? An evaluation of alternative theories. Soc Sci Med 1986;22:63-73.
    • (1986) Soc Sci Med , vol.22 , pp. 63-73
    • Sloan, F.A.1    Valvona, J.2
  • 8
    • 0025129095 scopus 로고
    • Determinants of hospital charges and length of stay for ocular trauma
    • Tielsch JM, Parver LM. Determinants of hospital charges and length of stay for ocular trauma. Ophthalmology 1990; 97:231-7.
    • (1990) Ophthalmology , vol.97 , pp. 231-237
    • Tielsch, J.M.1    Parver, L.M.2
  • 9
    • 0024391415 scopus 로고
    • Changes in admissions, lengths of stay, and discharge diagnoses at a major university-affiliated teaching hospital: Implications for medical education
    • Rosevear GC, Gary NE. Changes in admissions, lengths of stay, and discharge diagnoses at a major university-affiliated teaching hospital: implications for medical education. Acad Med 1989:253-8.
    • (1989) Acad Med , pp. 253-258
    • Rosevear, G.C.1    Gary, N.E.2
  • 10
    • 3242814294 scopus 로고
    • Changing patterns of disease on an in-patient medical service 1961-2 to 1981-2
    • Steiner JF, Feinberg LE, Kramer AM, Byyny RL. Changing patterns of disease on an in-patient medical service 1961-2 to 1981-2. Am J Med 1987;83:3315.
    • (1987) Am J Med , vol.83 , pp. 3315
    • Steiner, J.F.1    Feinberg, L.E.2    Kramer, A.M.3    Byyny, R.L.4
  • 11
    • 0022356146 scopus 로고
    • The role of changing clinical practices in the rising costs of hospital care
    • Showstack JA, Stone MH, Schroeder SA. The role of changing clinical practices in the rising costs of hospital care. N Engl J Med 1985;313:1201-7.
    • (1985) N Engl J Med , vol.313 , pp. 1201-1207
    • Showstack, J.A.1    Stone, M.H.2    Schroeder, S.A.3
  • 12
    • 0004254353 scopus 로고
    • Paris: OECD
    • Organisation for Economic Cooperation and Development. Health data. Paris: OECD, 1993.
    • (1993) Health Data
  • 14
    • 3242801809 scopus 로고
    • Medicare patients: Regional differences in length of hospital stays. 1969-71. Social Science Bulletin July 1975
    • Washington, DC: US Congress, Office of Technology Assessment, August (OTA-HCS-23)
    • Gornick M. Medicare patients: regional differences in length of hospital stays. 1969-71. Social Science Bulletin July 1975. In: Health technology case study 24. Variations in hospital length of stay. Their relationship to health outcomes. Washington, DC: US Congress, Office of Technology Assessment, August 1983. (OTA-HCS-23.)
    • (1983) Health Technology Case Study 24. Variations in Hospital Length of Stay. Their Relationship to Health Outcomes
    • Gornick, M.1
  • 16
    • 78651149660 scopus 로고
    • How long in hospital? A study of variation in duration of stay for two common surgical conditions
    • Heasman MA. How long in hospital? A study of variation in duration of stay for two common surgical conditions. Lancet 1964;ii:539-41.
    • (1964) Lancet , vol.2 , pp. 539-541
    • Heasman, M.A.1
  • 17
    • 0016346850 scopus 로고
    • Some observations on the management of appendicitis in Wales
    • West RR, Roberts CJ. Some observations on the management of appendicitis in Wales. Int J Epidemiol 1974;3: 351-7.
    • (1974) Int J Epidemiol , vol.3 , pp. 351-357
    • West, R.R.1    Roberts, C.J.2
  • 18
    • 0018394773 scopus 로고
    • Variation in hospital stay after inguinal herniorrhaphy
    • Author, vol No
    • Griffiths M, Waters WE, Acheson ED. Variation in hospital stay after inguinal herniorrhaphy. BMJ 1979;:787-9. Author, vol No
    • (1979) BMJ , pp. 787-789
    • Griffiths, M.1    Waters, W.E.2    Acheson, E.D.3
  • 20
    • 0004690340 scopus 로고
    • Variations in length of stay at district level
    • Ham C, ed. Kings Fund Institute, (Research report No 2)
    • Morgan M. Variations in length of stay at district level. In: Ham C, ed. Health care variations. Kings Fund Institute, 1988. (Research report No 2.)
    • (1988) Health Care Variations
    • Morgan, M.1
  • 21
    • 0025340188 scopus 로고
    • Variations in lengths of stay and rates of day case surgery: Implications for the efficiency of surgical management
    • Morgan M, Beech R. Variations in lengths of stay and rates of day case surgery: implications for the efficiency of surgical management. J Epidemiol Community Health 1990; 44:90-105.
    • (1990) J Epidemiol Community Health , vol.44 , pp. 90-105
    • Morgan, M.1    Beech, R.2
  • 22
    • 0026129148 scopus 로고
    • The effects of patient, hospital, and physician characteristics on length of stay and mortality
    • Burns LR, Wholey DR. The effects of patient, hospital, and physician characteristics on length of stay and mortality. Med Care 1991;29:251-71.
    • (1991) Med Care , vol.29 , pp. 251-271
    • Burns, L.R.1    Wholey, D.R.2
  • 23
    • 0022518227 scopus 로고
    • Length of stay, significant variables
    • Marchette L, Holloman F. Length of stay, significant variables. J Nursing Admin 1986;16:12-9.
    • (1986) J Nursing Admin , vol.16 , pp. 12-19
    • Marchette, L.1    Holloman, F.2
  • 25
    • 0025021902 scopus 로고
    • The relationship of house staff experience to the cost and quality of inpatient care
    • Rich EC, Gifford G, Luxenberg M, Dowd B. The relationship of house staff experience to the cost and quality of inpatient care. JAMA 1990;263:953-7.
    • (1990) JAMA , vol.263 , pp. 953-957
    • Rich, E.C.1    Gifford, G.2    Luxenberg, M.3    Dowd, B.4
  • 26
    • 84965576682 scopus 로고
    • Physicians' outcome predictions for elderly patients. Survival, hospital discharge and length of stay in a department of medicine
    • Asberg KH. Physicians' outcome predictions for elderly patients. Survival, hospital discharge and length of stay in a department of medicine. Scand J Soc Med 1986;14;127-32.
    • (1986) Scand J Soc Med , vol.14 , pp. 127-132
    • Asberg, K.H.1
  • 28
    • 0024535078 scopus 로고
    • A built bed is a filled bed: An empirical re-examination
    • van Doorslaer EKA, van Vliet RCJA. A built bed is a filled bed: an empirical re-examination. Soc Sci Med 1989; 28:155-64.
    • (1989) Soc Sci Med , vol.28 , pp. 155-164
    • Van Doorslaer, E.K.A.1    Van Vliet, R.C.J.A.2
  • 29
    • 0028920934 scopus 로고
    • Understanding variations in lengths of stay between hospitals for fractured neck of femur patients and the potential consequences of reduced stay targets
    • Beech R, Withey C, Morris R. Understanding variations in lengths of stay between hospitals for fractured neck of femur patients and the potential consequences of reduced stay targets. J Public Health Med 1995;17:77-84.
    • (1995) J Public Health Med , vol.17 , pp. 77-84
    • Beech, R.1    Withey, C.2    Morris, R.3
  • 31
    • 0021181858 scopus 로고
    • Analysing stages of care in hospital stay for fractured neck of femur
    • Robbins JA, Donaldson LJ. Analysing stages of care in hospital stay for fractured neck of femur. Lancet 1984; ii:1028-9.
    • (1984) Lancet , vol.2 , pp. 1028-1029
    • Robbins, J.A.1    Donaldson, L.J.2
  • 32
    • 0022378102 scopus 로고
    • Hospital admission for acute stroke; who, for how long, and to what effect?
    • Wade DT, Hewer RL. Hospital admission for acute stroke; who, for how long, and to what effect? J Epidemiol Community Health 1985;39:347-52.
    • (1985) J Epidemiol Community Health , vol.39 , pp. 347-352
    • Wade, D.T.1    Hewer, R.L.2
  • 33
    • 0024724866 scopus 로고
    • Differences in inpatient resource use by type of health plan
    • Johnson AN, Dowd B, Morris NE, Lurie N. Differences in inpatient resource use by type of health plan. Inquiry 1989;26:388-98.
    • (1989) Inquiry , vol.26 , pp. 388-398
    • Johnson, A.N.1    Dowd, B.2    Morris, N.E.3    Lurie, N.4
  • 34
    • 0024547572 scopus 로고
    • A comparison of length of stay and costs for health maintenance organization and fee-for-service patients
    • Stern RS, Juhn PI, Gertler PJ, Epstein AM. A comparison of length of stay and costs for health maintenance organization and fee-for-service patients. Arch Intern Med 1989; 149:1185-8.
    • (1989) Arch Intern Med , vol.149 , pp. 1185-1188
    • Stern, R.S.1    Juhn, P.I.2    Gertler, P.J.3    Epstein, A.M.4
  • 35
    • 0025766726 scopus 로고
    • Comparing hospital length of stay in independent practice association HMOs and traditional insurance programs
    • Bradbury RC, Golec JH, Stearns FE. Comparing hospital length of stay in independent practice association HMOs and traditional insurance programs. Inquiry 1991;28:87-93.
    • (1991) Inquiry , vol.28 , pp. 87-93
    • Bradbury, R.C.1    Golec, J.H.2    Stearns, F.E.3
  • 36
    • 0024730118 scopus 로고
    • Profit and fiscal pressure in the prospective payment system: Their impacts on hospitals
    • Hadley J, Zuckerman S, Feder J. Profit and fiscal pressure in the prospective payment system: their impacts on hospitals. Inquiry 1989;26:354-65.
    • (1989) Inquiry , vol.26 , pp. 354-365
    • Hadley, J.1    Zuckerman, S.2    Feder, J.3
  • 37
    • 0017385856 scopus 로고
    • Right stay in hospital after surgery: Randomised controlled trial
    • Simpson JEP, Cox AG, Meade TW, Brennan PJ, Lee JA. Right stay in hospital after surgery: randomised controlled trial. BMJ 1977;i:1514-6.
    • (1977) BMJ , vol.1 , pp. 1514-1516
    • Simpson, J.E.P.1    Cox, A.G.2    Meade, T.W.3    Brennan, P.J.4    Lee, J.A.5
  • 38
    • 0028432843 scopus 로고
    • Variation in hospital length of stay for acute myocardial infarction in Ontario Canada
    • Chen E, Naylor CD. Variation in hospital length of stay for acute myocardial infarction in Ontario Canada. Med Care 1994;32:420-35.
    • (1994) Med Care , vol.32 , pp. 420-435
    • Chen, E.1    Naylor, C.D.2
  • 39
    • 0023218049 scopus 로고
    • Cognitive impairment, emotional disorder and length of stay of elderly patients in a district general hospital
    • Johnston M, Wakeling A, Graham N, Stokes F. Cognitive impairment, emotional disorder and length of stay of elderly patients in a district general hospital. Br J Med Psychol 1987;60:133-9.
    • (1987) Br J Med Psychol , vol.60 , pp. 133-139
    • Johnston, M.1    Wakeling, A.2    Graham, N.3    Stokes, F.4
  • 40
    • 0022622026 scopus 로고
    • Elderly patients in acute medical wards: Factors predicting length of stay in hospital
    • Maguire PA, Taylor IC, Stout RW. Elderly patients in acute medical wards: factors predicting length of stay in hospital. BMJ 1986;292:1251-3.
    • (1986) BMJ , vol.292 , pp. 1251-1253
    • Maguire, P.A.1    Taylor, I.C.2    Stout, R.W.3
  • 41
    • 0018143562 scopus 로고
    • Changes in local clinical practice following an experiment in medical care: Evaluation of evaluation
    • Adler MW. Changes in local clinical practice following an experiment in medical care: evaluation of evaluation. J Epidemiol Community Health 1978;32:1436.
    • (1978) J Epidemiol Community Health , vol.32 , pp. 1436
    • Adler, M.W.1
  • 42
    • 0016156721 scopus 로고
    • A randomised controlled trial of early discharge for inguinal hernia and varicose veins: Some problems of methodology
    • Adler MW, Waller JJ, Kasap HS, King C, Thorne SC. A randomised controlled trial of early discharge for inguinal hernia and varicose veins: some problems of methodology. Med Care 1974;12:541-7.
    • (1974) Med Care , vol.12 , pp. 541-547
    • Adler, M.W.1    Waller, J.J.2    Kasap, H.S.3    King, C.4    Thorne, S.C.5
  • 43
    • 0018191659 scopus 로고
    • Randomised controlled trial of early discharge for inguinal hernia and varicose veins
    • Adler MW, Waller JJ, Creese A, Thorne SC. Randomised controlled trial of early discharge for inguinal hernia and varicose veins. J Epidemiol Community Health 1978;32:136-42.
    • (1978) J Epidemiol Community Health , vol.32 , pp. 136-142
    • Adler, M.W.1    Waller, J.J.2    Creese, A.3    Thorne, S.C.4
  • 44
    • 0026673155 scopus 로고
    • Risks of and prophylaxis for venous thromboembolism in hospital patients
    • Thromboembolic Risk Factors (THRIFT) Consensus Group. Risks of and prophylaxis for venous thromboembolism in hospital patients. BMJ 1992;305:56774.
    • (1992) BMJ , vol.305 , pp. 56774
  • 45
    • 0025234951 scopus 로고
    • Nosocomial infections: Validation of surveillance and computer modelling to identify patients at risk
    • Broderick A, Mori M, Mettleman MD, Streed SA, Wenzel RP. Nosocomial infections: validation of surveillance and computer modelling to identify patients at risk. Am J Epidemiol 1990;131:734-42.
    • (1990) Am J Epidemiol , vol.131 , pp. 734-742
    • Broderick, A.1    Mori, M.2    Mettleman, M.D.3    Streed, S.A.4    Wenzel, R.P.5
  • 46
    • 0021268814 scopus 로고
    • Length of stay and health outcome
    • McPherson K. Length of stay and health outcome. BMJ 1984;88:1854-5.
    • (1984) BMJ , vol.88 , pp. 1854-1855
    • McPherson, K.1
  • 47
    • 0017904972 scopus 로고
    • Day care and short stay surgery for hernia
    • Ruckley CV. Day care and short stay surgery for hernia. Br J Surg 1978;65:14.
    • (1978) Br J Surg , vol.65 , pp. 14
    • Ruckley, C.V.1
  • 48
    • 0014434711 scopus 로고
    • Early discharge after hernia repair
    • Morris D, Ward A, Handyside A. Early discharge after hernia repair. Lancet 1968;i:681-5.
    • (1968) Lancet , vol.1 , pp. 681-685
    • Morris, D.1    Ward, A.2    Handyside, A.3
  • 49
    • 0017616403 scopus 로고
    • Day care surgery for hernias and haemorrhoids
    • Russell I, Fell M, Devlin HB, et al. Day care surgery for hernias and haemorrhoids. Lancet 1977;i:844-7.
    • (1977) Lancet , vol.1 , pp. 844-847
    • Russell, I.1    Fell, M.2    Devlin, H.B.3
  • 50
    • 0025799937 scopus 로고
    • Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California
    • Cleary PD, Greenfield S, Mulley AG, Pauker SG, Schroeder SA, Wexler L, McNeil BJ. Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California. JAMA 1991;266:73-9.
    • (1991) JAMA , vol.266 , pp. 73-79
    • Cleary, P.D.1    Greenfield, S.2    Mulley, A.G.3    Pauker, S.G.4    Schroeder, S.A.5    Wexler, L.6    McNeil, B.J.7
  • 51
    • 3242764992 scopus 로고    scopus 로고
    • Does a shorter length of stay affect the outcome and costs of hysterectomy in southern England?
    • in press
    • Clarke A, Black NAB, Rowe P. Does a shorter length of stay affect the outcome and costs of hysterectomy in southern England? J Epidemiol Community Health (in press).
    • J Epidemiol Community Health
    • Clarke, A.1    Black, N.A.B.2    Rowe, P.3
  • 52
    • 0018602861 scopus 로고
    • The relationship between intensity and duration of medical services and outcomes for hospitalised patients
    • Flood AB, Ewy W, Scott R, Forrest WH, Brown BW. The relationship between intensity and duration of medical services and outcomes for hospitalised patients. Med Care 1979;17:1088-102.
    • (1979) Med Care , vol.17 , pp. 1088-1102
    • Flood, A.B.1    Ewy, W.2    Scott, R.3    Forrest, W.H.4    Brown, B.W.5
  • 53
    • 0026520060 scopus 로고
    • Case-control study of patient satisfaction with day-case and inpatient inguinal hernia repair
    • Michaels JA? Reece-Smith H, Faber RG. Case-control study of patient satisfaction with day-case and inpatient inguinal hernia repair. J R Coll Surg Edinb 1992;37: 99-100.
    • (1992) J R Coll Surg Edinb , vol.37 , pp. 99-100
    • Michaels, J.A.1    Reece-Smith, H.2    Faber, R.G.3
  • 54
    • 0023245649 scopus 로고
    • Day case laparoscopic sterilization - Time for a rethink?
    • Thomas H, Hare MJ. Day case laparoscopic sterilization - time for a rethink? Br J Obstet Gynaecol 1987;94:445-8.
    • (1987) Br J Obstet Gynaecol , vol.94 , pp. 445-448
    • Thomas, H.1    Hare, M.J.2
  • 55
    • 0027653617 scopus 로고
    • Day surgery - Development of a questionnaire for eliciting patients' experience
    • Black NA, Sanderson C. Day surgery - development of a questionnaire for eliciting patients' experience. Quality in Health Care 1993;2:157-61.
    • (1993) Quality in Health Care , vol.2 , pp. 157-161
    • Black, N.A.1    Sanderson, C.2
  • 57
    • 0018859066 scopus 로고
    • Five common fallacies in estimating the economic gains of early discharge
    • Jonsson B, Lindgren B. Five common fallacies in estimating the economic gains of early discharge. Soc Sci Med 1980;14:27-33.
    • (1980) Soc Sci Med , vol.14 , pp. 27-33
    • Jonsson, B.1    Lindgren, B.2
  • 59
    • 0019277340 scopus 로고
    • Surgical day care: Measurements of the economic payoff
    • Evans RG, Robinson GC. Surgical day care: measurements of the economic payoff. Can Med Assoc J 1989;123: 873-88.
    • (1989) Can Med Assoc J , vol.123 , pp. 873-888
    • Evans, R.G.1    Robinson, G.C.2
  • 60
    • 0027160142 scopus 로고
    • Hip fractures: Changing patterns in hospital bed use in NSW between 1979 and 1990
    • Lord SR. Hip fractures: changing patterns in hospital bed use in NSW between 1979 and 1990. Aust NZ J Surg 1993:63:352-5.
    • (1993) Aust NZ J Surg , vol.63 , pp. 352-355
    • Lord, S.R.1


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