Impact of disinvestment from weekend allied health services across acute medical and surgical wards: 2 stepped-wedge cluster randomised controlled trials

PLoS Medicine

Volumn 14, Issue 10, 2017, Pages

  Haines, Terry P ^a,b   Bowles, Kelly Ann ^a   Mitchell, Deb ^a,b   O’Brien, Lisa ^a,b   Markham, Donna ^c   Plumb, Samantha ^d   May, Kerry ^c   Philip, Kathleen ^e   Haas, Romi ^a,b   Sarkies, Mitchell N ^a,b   Ghaly, Marcelle ^f   Shackell, Melina ^f   Chiu, Timothy ^f   McPhail, Steven ^g   McDermott, Fiona ^c   Skinner, Elizabeth H ^a,f  

^a MONASH UNIVERSITY   (Australia)

^b SOUTHERN HEALTH   (Australia)

^c MONASH MEDICAL CENTRE   (Australia)

^d ROYAL MELBOURNE HOSPITAL   (Australia)

^e Western Health ^*  (Australia)

^f WESTERN HOSPITAL   (Australia)

^g QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; DIETETICS; FEMALE; HEALTH SERVICE; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OCCUPATIONAL THERAPY; OUTCOME ASSESSMENT; PHYSIOTHERAPY; RANDOMIZED CONTROLLED TRIAL; SOCIAL WORK; SPEECH THERAPY; SURGICAL WARD; AUSTRALIA; ECONOMICS; HOSPITAL SUBDIVISIONS AND COMPONENTS; HOSPITALIZATION; MULTILEVEL ANALYSIS; ORGANIZATION AND MANAGEMENT; OUT-OF-HOURS CARE; PARAMEDICAL PERSONNEL; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA;

AFTER-HOURS CARE; ALLIED HEALTH PERSONNEL; AUSTRALIA; DIETETICS; HEALTH SERVICES; HOSPITAL UNITS; HOSPITALIZATION; HUMANS; LENGTH OF STAY; LINEAR MODELS; MULTILEVEL ANALYSIS; OCCUPATIONAL THERAPY; PATIENT READMISSION; PHYSICAL THERAPY SPECIALTY; SOCIAL WORK;

EID: 85032786867     PISSN: 15491277     EISSN: 15491676     Source Type: Journal    
DOI: 10.1371/journal.pmed.1002412     Document Type: Article

References (35)

1. Elshaug AG, Hiller JE, Tunis SR, Moss JR, Challenges in Australian policy processes for disinvestment from existing, ineffective health care practices. Aust New Zealand Health Policy. 2007;4:23. doi: 10.1186/1743-8462-4-23 17973993
2. Hurley R, Can doctors reduce harmful medical overuse worldwide?BMJ. 2014;349:g4289. doi: 10.1136/bmj.g4289 24993249
3. Erickson S, Rockwern B, Koltov M, McLean R, Medical Practice and Quality Committee of the American College of Physicians. Putting patients first by reducing administrative tasks in health care: a position paper of the American College of Physicians. Ann Intern Med. 2017;166:659–61. doi: 10.7326/M16-2697 28346948
4. Haines T, O’Brien L, McDermott F, Markham D, Mitchell D, Watterson D, et al. A novel research design can aid disinvestment from existing health technologies with uncertain effectiveness, cost-effectiveness, and/or safety. J Clin Epidemiol. 2014;67:144–51. doi: 10.1016/j.jclinepi.2013.08.014 24275500
5. Haines TP O’Brien L, Mitchell D, Bowles K, Haas R, Markham D, et al. Study protocol for two randomized controlled trials examining the effectiveness and safety of current weekend allied health services and a new stakeholder-driven model for acute medical/surgical patients versus no weekend allied health services. Trials. 2015;16:133. doi: 10.1186/s13063-015-0619-z 25873250
6. Campbell L, Bunston R, Colangelo S, Kim D, Nargi J, Hill K, et al. The provision of weekend physiotherapy services in tertiary-care hospitals in Canada. Physiother Can. 2010;62:347–54. doi: 10.3138/physio.62.4.347 21886374
7. Cusick A, Johnson L, Bissett M, Occupational therapy in emergency departments: Australian practice. J Eval Clin Pract. 2009;15:257–65. doi: 10.1111/j.1365-2753.2008.00991.x 19335482
8. Shaw KD, Taylor NF, Brusco NK, Physiotherapy services provided outside of business hours in Australian hospitals: a national survey. Physiother Res Int. 2013;18(2):115–23. doi: 10.1002/pri.1537 23038214
9. Ottensmeyer CA, Chattha S, Jayawardena S, McBoyle K, Wrong C, Ellerton C, et al. Weekend physiotherapy practice in community hospitals in Canada. Physiother Can. 2012;64:178–87. doi: 10.3138/ptc.2011-19 23449882
10. Ponto JM, Berg W, Social work services in the emergency department: a cost-benefit analysis of an extended coverage program. Health Soc Work. 1992;17:66–73. 1537582
11. Aylin P, Alexandrescu R, Jen M, Mayer E, Bottle A, Day of week of procedure and 30 day mortality for elective surgery: retrospective analysis of hospital episode statistics. BMJ. 2013;346:f2424. doi: 10.1136/bmj.f2424 23716356
12. Ruiz M, Bottle A, Aylin PP, The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24:492–504. doi: 10.1136/bmjqs-2014-003467 26150550
13. McIsaac DI, Bryson GL, van Walraven C, Elective, major noncardiac surgery on the weekend: a population-based cohort study of 30-day mortality. Med Care. 2014;52:557–64. doi: 10.1097/MLR.0000000000000137 24783992
14. Thomas C, Smith R, Uzoigwe C, Braybrooke J, The weekend effect. Bone Joint J. 2014;96:373–8. doi: 10.1302/0301-620X.96B3.33118 24589794
15. Freemantle N, Ray D, McNulty D, Rosser D, Bennett S, Keogh BE, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services?BMJ. 2015;351:h4596. doi: 10.1136/bmj.h4596 26342923
16. Haas R, Sarkies M, Bowles KA, O’Brien L, Haines T, Early commencement of physical therapy in the acute phase following elective lower limb arthroplasty produces favorable outcomes: a systematic review and meta-analysis examining allied health service models. Osteoarthritis Cartilage. 2016;24:1167–81. doi: 10.1016/j.joca.2016.01.982
17. Wise J, The weekend effect—how strong is the evidence?BMJ. 2016;353:i2781. doi: 10.1136/bmj.i2781 27199275
18. Wise J, Higher weekend death rate is flawed, study finds. BMJ. 2016;353:i2598. doi: 10.1136/bmj.i2598 27154791
19. Hemming K, Haines T, Chilton P, Girling A, Lilford R, The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting. BMJ. 2015;350:h391. doi: 10.1136/bmj.h391 25662947
20. Snapinn SM, Noninferiority trials. Curr Control Trials Cardiovasc Med. 2000;1:19–21. doi: 10.1186/cvm-1-1-019 11714400
21. Greco T, Zangrillo A, Biondi-Zoccai G, Landoni G, Meta-analysis: pitfalls and hints. Heart Lung Vessel. 2013;5:219–25. 24364016
22. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. doi: 10.1136/bmj.g1687 24609605
23. Hasson F, Keeney S, McKenna H, Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32(4):1008–15. 11095242
24. Australian Institute of Health and WelfareAustralian refined diagnosis-related groups (AR-DRG) data cubes. Canberra: Australian Institute of Health and Welfare; 2017May17 [cited 2017 Sep 12]. Available from: https://www.aihw.gov.au/reports/hospitals/australian-refined-diagnosis-related-groups-ar-dr/contents/data-cubes.
25. Sarkies M, Bowles K-A, Skinner E, Mitchell D, Haas R, Ho M, et al. Data collection methods in health services research: hospital length of stay and discharge destination. Appl Clin Inform. 2015;6:96–109. doi: 10.4338/ACI-2014-10-RA-0097 25848416
26. Sarkies MN, Bowles KA, Skinner EH, Haas R, Mitchell D, O’Brien L, et al. Do daily ward interviews improve measurement of hospital quality and safety indicators? A prospective observational study. J Eval Clin Pract. 2016;22:792–98. doi: 10.1111/jep.12543 27291891
27. Assmann SF, Pocock SJ, Enos LE, Kasten LE, Subgroup analysis and other (mis)uses of baseline data in clinical trials. Lancet. 2000;355:1064–9. doi: 10.1016/S0140-6736(00)02039-0 10744093
28. Haines T, Bell R, Varghese P, Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall injuries. J Am Geriatr Soc. 2010;58:435–41. doi: 10.1111/j.1532-5415.2010.02735.x 20398112
29. Peiris CL, Shields N, Brusco NK, Watts JJ, Taylor NF, Additional Saturday rehabilitation improves functional independence and quality of life and reduces length of stay: a randomized controlled trial. BMC Med. 2013;11:198. doi: 10.1186/1741-7015-11-198 24228854
30. Pickard AS, Neary MP, Cella D, Estimation of minimally important differences in EQ-5D utility and VAS scores in cancer. Health Qual Life Outcomes. 2007;5:70. doi: 10.1186/1477-7525-5-70 18154669
31. Coretti S, Ruggeri M, McNamee P, The minimum clinically important difference for EQ-5D index: a critical review. Expert Rev Pharmacoecon Outcomes Res. 2014;14:221–33. doi: 10.1586/14737167.2014.894462 24625040
32. Beninato M, Gill-Body K, Salles S, Stark P, Black-Schaffer R, Stein J, Determination of the minimal clinical important difference in the FIM instrument in patients with stroke. Arch Phys Med Rehabil. 2006;87:32–9. doi: 10.1016/j.apmr.2005.08.130 16401435
33. Jones R, Myths of ideal hospital size. Med J Aust. 2010;193:298–300. 20819051
34. Damanpour F, Evan WM, Organizational innovation and performance: the problem of “organizational lag”. Adm Sci Q. 1984;29:392–409.
35. Hussey M, Hughes J, Design and analysis of stepped wedge cluster randomized trials. Contemp Clin Trials. 2007;28:182–91. doi: 10.1016/j.cct.2006.05.007 16829207