conclusions the job specialization intervention can improve nurses’ satisfaction and relieve the crowdedness of the eds. results there was a significant difference between the two groups of patients concerning the length of their stay in the ed (p < 0.001). moreover, compared with the pretest readings, nurses had greater job satisfaction after the study (p < 0.001). patients and methods this be...

BACKGROUND The medical costs for inpatients with coronary heart disease (CHD) have risen to unprecedented levels, putting tremendous financial pressure on their families and the entire society. The objective of this study was to examine the actual direct medical costs of inpatients with CHD and to analyze the influencing factors of those costs, to provide advice on the prevention and control of...

Background and purpose - The length of stay after total hip arthroplasty has been reduced to 2-4 days after implementing fast-track surgery. We investigated whether a new time-based patient-centered primary direct anterior approach (DAA) total hip arthroplasty (THA) treatment protocol in a specialized clinic, with a planned length of stay of about 24 hours, could be achieved in all patients or ...

The overcrowding of emergency departments (EDs) with inpatients results in an increased average inpatient length of stay; therefore, overcrowded hospitals have increased costs per patient. All admissions through the ED to our institution for 1988, 1989, and 1990 were reviewed. These admissions were analyzed based on whether they had spent less than 1 day or more than 1 day in the ED, after they...

Introduction The healthcare system in Japan is characterized by long hospital stay and a large excess of hospital beds. The average length of hospital stay, and the number of beds per population for acute-care hospitals, are both about twice the average of those in other OECD countries. Insufficient functional differentiation of Japan's hospitals has been claimed as the cause of such inefficien...

BACKGROUND Early discharge after childbirth is widely reported. In this study the authors examined trends in maternal length of hospital stay in Canada from fiscal year 1984-85 through fiscal year 1994-95. They also examined variations in length of stay in 1994-95 in most of the Canadian provinces and the territories. METHODS Epidemiologic analyses of the temporal and geographic variations in...

BACKGROUND Since 1994, China has established three major basic medical insurance (MI) schemes that aim to provide greater financial protection to members. The 2009 Chinese medical reform emphasized the enhancement of basic medical insurance. This study aims to investigate changes in hospital services costs for inpatients with different types of MI before and after the new Chinese medical reform...

OBJECTIVE To describe the development and activity of a multidisciplinary service to manage self-poisoning. DESIGN Descriptive, comparative study with prospective data collection. SETTING Regional toxicology treatment centre in the Hunter area of New South Wales (NSW) with primary and secondary referral service to 385,000 people and tertiary referral service to a further 100,000. PATIENTS...