Intensivists in U.S. Acute Care Hospitals
OBJECTIVES:To determine the total numbers of privileged and full-time equivalent intensivists in acute care hospitals with intensivists and compare the characteristics of hospitals with and without intensivists. DESIGN:Retrospective analysis of the American Hospital Association Annual Survey Databas...
Gespeichert in:
| Veröffentlicht in: | Critical care medicine 2019-04, Vol.47 (4), p.517-525 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 525 |
|---|---|
| container_issue | 4 |
| container_start_page | 517 |
| container_title | Critical care medicine |
| container_volume | 47 |
| creator | Halpern, Neil A. Tan, Kay See DeWitt, Meghan Pastores, Stephen M. |
| description | OBJECTIVES:To determine the total numbers of privileged and full-time equivalent intensivists in acute care hospitals with intensivists and compare the characteristics of hospitals with and without intensivists.
DESIGN:Retrospective analysis of the American Hospital Association Annual Survey Database (Fiscal Year 2015).
SETTING:Two-thousand eight-hundred fourteen acute care hospitals with ICU beds.
PATIENTS:None.
INTERVENTIONS:None.
MEASUREMENTS AND MAIN RESULTS:Of the 2,814 acute care hospitals studied, 1,469 (52%) had intensivists and 1,345 (48%) had no intensivists. There were 28,808 privileged and 19,996 full-time equivalent intensivists in the 1,469 hospitals with intensivists. In these hospitals, the median (25–75th percentile) numbers of privileged and full-time equivalent intensivists were 11 (5–24) and 7 (2–17), respectively. Compared with hospitals without intensivists, hospitals with privileged intensivists were primarily located in metropolitan areas (91% vs 50%; p < 0.001) and at the aggregate level had nearly thrice the number of hospital beds (403,522 [75%] vs 137,146 [25%]), 3.6 times the number of ICU beds (74,222 [78%] vs 20,615 [22%]), and almost twice as many ICUs (3,383 [65%] vs 1,846 [35%]). At the hospital level, hospitals with privileged intensivists had significantly more hospital beds (median, 213 vs 68; p < 0.0001), ICU beds (median, 32 vs 8; p < 0.0001), a higher ratio of ICU to hospital beds (15.6% vs 12.6%; p < 0.0001), and a higher number of ICUs per hospital (2 vs 1; p < 0.0001) than hospitals without intensivists.
CONCLUSIONS:Analyzing the intensivist section of the American Hospital Association Annual Survey database is a novel approach to estimating the numbers of privileged and full-time equivalent intensivists in acute care hospitals with ICU beds in the United States. This methodology opens the door to an enhanced understanding of the current supply and distribution of intensivists as well as future research into the intensivist workforce. |
| doi_str_mv | 10.1097/CCM.0000000000003615 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179480037</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2179480037</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4475-1d2832b16b1eada56a5cb72dc34a115b031a5cc37af5532f16d75eade3c0f46b3</originalsourceid><addsrcrecordid>eNqFkE1PwzAMhiMEYmPwDxDqEQ4tdpM063GqgE0a4gA7R2maaoWuHUnLxL8nYwMhDuCLZet5_fESco4QIaTiOsvuI_gRNEF-QIbIKYQQp_SQDAFSCClL6YCcOPcMgIwLekwGFJKUjVEMydWs6UzjqrfKdS6ommARPUbBRPedCTJlTTBt3brqVO1OyVHpkznb5xFZ3N48ZdNw_nA3yybzUDMmeIhFPKZxjkmORhWKJ4rrXMSFpkwh8hwo-o6mQpWc07jEpBDck4ZqKFmS0xG53M1d2_a1N66Tq8ppU9eqMW3vZIzC3-7_FR5lO1Tb1jlrSrm21UrZd4kgtyZJb5L8bZKXXew39PnKFN-iL1c8MN4Bm7bujHUvdb8xVi6Nqrvlf7PZH9JPLGZJGAOmwHwVbluMfgDE74Bb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2179480037</pqid></control><display><type>article</type><title>Intensivists in U.S. Acute Care Hospitals</title><source>Journals@Ovid Complete - AutoHoldings</source><source>MEDLINE</source><creator>Halpern, Neil A. ; Tan, Kay See ; DeWitt, Meghan ; Pastores, Stephen M.</creator><creatorcontrib>Halpern, Neil A. ; Tan, Kay See ; DeWitt, Meghan ; Pastores, Stephen M.</creatorcontrib><description>OBJECTIVES:To determine the total numbers of privileged and full-time equivalent intensivists in acute care hospitals with intensivists and compare the characteristics of hospitals with and without intensivists.
DESIGN:Retrospective analysis of the American Hospital Association Annual Survey Database (Fiscal Year 2015).
SETTING:Two-thousand eight-hundred fourteen acute care hospitals with ICU beds.
PATIENTS:None.
INTERVENTIONS:None.
MEASUREMENTS AND MAIN RESULTS:Of the 2,814 acute care hospitals studied, 1,469 (52%) had intensivists and 1,345 (48%) had no intensivists. There were 28,808 privileged and 19,996 full-time equivalent intensivists in the 1,469 hospitals with intensivists. In these hospitals, the median (25–75th percentile) numbers of privileged and full-time equivalent intensivists were 11 (5–24) and 7 (2–17), respectively. Compared with hospitals without intensivists, hospitals with privileged intensivists were primarily located in metropolitan areas (91% vs 50%; p < 0.001) and at the aggregate level had nearly thrice the number of hospital beds (403,522 [75%] vs 137,146 [25%]), 3.6 times the number of ICU beds (74,222 [78%] vs 20,615 [22%]), and almost twice as many ICUs (3,383 [65%] vs 1,846 [35%]). At the hospital level, hospitals with privileged intensivists had significantly more hospital beds (median, 213 vs 68; p < 0.0001), ICU beds (median, 32 vs 8; p < 0.0001), a higher ratio of ICU to hospital beds (15.6% vs 12.6%; p < 0.0001), and a higher number of ICUs per hospital (2 vs 1; p < 0.0001) than hospitals without intensivists.
CONCLUSIONS:Analyzing the intensivist section of the American Hospital Association Annual Survey database is a novel approach to estimating the numbers of privileged and full-time equivalent intensivists in acute care hospitals with ICU beds in the United States. This methodology opens the door to an enhanced understanding of the current supply and distribution of intensivists as well as future research into the intensivist workforce.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/CCM.0000000000003615</identifier><identifier>PMID: 30694817</identifier><language>eng</language><publisher>United States: by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</publisher><subject><![CDATA[American Hospital Association ; Critical Care - organization & administration ; Hospital Bed Capacity - statistics & numerical data ; Humans ; Intensive Care Units - organization & administration ; Patient Care Team - organization & administration ; Personnel Staffing and Scheduling - statistics & numerical data ; Practice Patterns, Physicians' - statistics & numerical data ; Retrospective Studies ; United States]]></subject><ispartof>Critical care medicine, 2019-04, Vol.47 (4), p.517-525</ispartof><rights>by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.</rights><rights>Copyright © by 2019 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4475-1d2832b16b1eada56a5cb72dc34a115b031a5cc37af5532f16d75eade3c0f46b3</citedby><cites>FETCH-LOGICAL-c4475-1d2832b16b1eada56a5cb72dc34a115b031a5cc37af5532f16d75eade3c0f46b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30694817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Halpern, Neil A.</creatorcontrib><creatorcontrib>Tan, Kay See</creatorcontrib><creatorcontrib>DeWitt, Meghan</creatorcontrib><creatorcontrib>Pastores, Stephen M.</creatorcontrib><title>Intensivists in U.S. Acute Care Hospitals</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>OBJECTIVES:To determine the total numbers of privileged and full-time equivalent intensivists in acute care hospitals with intensivists and compare the characteristics of hospitals with and without intensivists.
DESIGN:Retrospective analysis of the American Hospital Association Annual Survey Database (Fiscal Year 2015).
SETTING:Two-thousand eight-hundred fourteen acute care hospitals with ICU beds.
PATIENTS:None.
INTERVENTIONS:None.
MEASUREMENTS AND MAIN RESULTS:Of the 2,814 acute care hospitals studied, 1,469 (52%) had intensivists and 1,345 (48%) had no intensivists. There were 28,808 privileged and 19,996 full-time equivalent intensivists in the 1,469 hospitals with intensivists. In these hospitals, the median (25–75th percentile) numbers of privileged and full-time equivalent intensivists were 11 (5–24) and 7 (2–17), respectively. Compared with hospitals without intensivists, hospitals with privileged intensivists were primarily located in metropolitan areas (91% vs 50%; p < 0.001) and at the aggregate level had nearly thrice the number of hospital beds (403,522 [75%] vs 137,146 [25%]), 3.6 times the number of ICU beds (74,222 [78%] vs 20,615 [22%]), and almost twice as many ICUs (3,383 [65%] vs 1,846 [35%]). At the hospital level, hospitals with privileged intensivists had significantly more hospital beds (median, 213 vs 68; p < 0.0001), ICU beds (median, 32 vs 8; p < 0.0001), a higher ratio of ICU to hospital beds (15.6% vs 12.6%; p < 0.0001), and a higher number of ICUs per hospital (2 vs 1; p < 0.0001) than hospitals without intensivists.
CONCLUSIONS:Analyzing the intensivist section of the American Hospital Association Annual Survey database is a novel approach to estimating the numbers of privileged and full-time equivalent intensivists in acute care hospitals with ICU beds in the United States. This methodology opens the door to an enhanced understanding of the current supply and distribution of intensivists as well as future research into the intensivist workforce.</description><subject>American Hospital Association</subject><subject>Critical Care - organization & administration</subject><subject>Hospital Bed Capacity - statistics & numerical data</subject><subject>Humans</subject><subject>Intensive Care Units - organization & administration</subject><subject>Patient Care Team - organization & administration</subject><subject>Personnel Staffing and Scheduling - statistics & numerical data</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>United States</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PwzAMhiMEYmPwDxDqEQ4tdpM063GqgE0a4gA7R2maaoWuHUnLxL8nYwMhDuCLZet5_fESco4QIaTiOsvuI_gRNEF-QIbIKYQQp_SQDAFSCClL6YCcOPcMgIwLekwGFJKUjVEMydWs6UzjqrfKdS6ommARPUbBRPedCTJlTTBt3brqVO1OyVHpkznb5xFZ3N48ZdNw_nA3yybzUDMmeIhFPKZxjkmORhWKJ4rrXMSFpkwh8hwo-o6mQpWc07jEpBDck4ZqKFmS0xG53M1d2_a1N66Tq8ppU9eqMW3vZIzC3-7_FR5lO1Tb1jlrSrm21UrZd4kgtyZJb5L8bZKXXew39PnKFN-iL1c8MN4Bm7bujHUvdb8xVi6Nqrvlf7PZH9JPLGZJGAOmwHwVbluMfgDE74Bb</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Halpern, Neil A.</creator><creator>Tan, Kay See</creator><creator>DeWitt, Meghan</creator><creator>Pastores, Stephen M.</creator><general>by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</general><general>Copyright by by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201904</creationdate><title>Intensivists in U.S. Acute Care Hospitals</title><author>Halpern, Neil A. ; Tan, Kay See ; DeWitt, Meghan ; Pastores, Stephen M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4475-1d2832b16b1eada56a5cb72dc34a115b031a5cc37af5532f16d75eade3c0f46b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>American Hospital Association</topic><topic>Critical Care - organization & administration</topic><topic>Hospital Bed Capacity - statistics & numerical data</topic><topic>Humans</topic><topic>Intensive Care Units - organization & administration</topic><topic>Patient Care Team - organization & administration</topic><topic>Personnel Staffing and Scheduling - statistics & numerical data</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Halpern, Neil A.</creatorcontrib><creatorcontrib>Tan, Kay See</creatorcontrib><creatorcontrib>DeWitt, Meghan</creatorcontrib><creatorcontrib>Pastores, Stephen M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Halpern, Neil A.</au><au>Tan, Kay See</au><au>DeWitt, Meghan</au><au>Pastores, Stephen M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intensivists in U.S. Acute Care Hospitals</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>2019-04</date><risdate>2019</risdate><volume>47</volume><issue>4</issue><spage>517</spage><epage>525</epage><pages>517-525</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><abstract>OBJECTIVES:To determine the total numbers of privileged and full-time equivalent intensivists in acute care hospitals with intensivists and compare the characteristics of hospitals with and without intensivists.
DESIGN:Retrospective analysis of the American Hospital Association Annual Survey Database (Fiscal Year 2015).
SETTING:Two-thousand eight-hundred fourteen acute care hospitals with ICU beds.
PATIENTS:None.
INTERVENTIONS:None.
MEASUREMENTS AND MAIN RESULTS:Of the 2,814 acute care hospitals studied, 1,469 (52%) had intensivists and 1,345 (48%) had no intensivists. There were 28,808 privileged and 19,996 full-time equivalent intensivists in the 1,469 hospitals with intensivists. In these hospitals, the median (25–75th percentile) numbers of privileged and full-time equivalent intensivists were 11 (5–24) and 7 (2–17), respectively. Compared with hospitals without intensivists, hospitals with privileged intensivists were primarily located in metropolitan areas (91% vs 50%; p < 0.001) and at the aggregate level had nearly thrice the number of hospital beds (403,522 [75%] vs 137,146 [25%]), 3.6 times the number of ICU beds (74,222 [78%] vs 20,615 [22%]), and almost twice as many ICUs (3,383 [65%] vs 1,846 [35%]). At the hospital level, hospitals with privileged intensivists had significantly more hospital beds (median, 213 vs 68; p < 0.0001), ICU beds (median, 32 vs 8; p < 0.0001), a higher ratio of ICU to hospital beds (15.6% vs 12.6%; p < 0.0001), and a higher number of ICUs per hospital (2 vs 1; p < 0.0001) than hospitals without intensivists.
CONCLUSIONS:Analyzing the intensivist section of the American Hospital Association Annual Survey database is a novel approach to estimating the numbers of privileged and full-time equivalent intensivists in acute care hospitals with ICU beds in the United States. This methodology opens the door to an enhanced understanding of the current supply and distribution of intensivists as well as future research into the intensivist workforce.</abstract><cop>United States</cop><pub>by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</pub><pmid>30694817</pmid><doi>10.1097/CCM.0000000000003615</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0090-3493 |
| ispartof | Critical care medicine, 2019-04, Vol.47 (4), p.517-525 |
| issn | 0090-3493 1530-0293 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2179480037 |
| source | Journals@Ovid Complete - AutoHoldings; MEDLINE |
| subjects | American Hospital Association Critical Care - organization & administration Hospital Bed Capacity - statistics & numerical data Humans Intensive Care Units - organization & administration Patient Care Team - organization & administration Personnel Staffing and Scheduling - statistics & numerical data Practice Patterns, Physicians' - statistics & numerical data Retrospective Studies United States |
| title | Intensivists in U.S. Acute Care Hospitals |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T11%3A51%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intensivists%20in%20U.S.%20Acute%20Care%20Hospitals&rft.jtitle=Critical%20care%20medicine&rft.au=Halpern,%20Neil%20A.&rft.date=2019-04&rft.volume=47&rft.issue=4&rft.spage=517&rft.epage=525&rft.pages=517-525&rft.issn=0090-3493&rft.eissn=1530-0293&rft_id=info:doi/10.1097/CCM.0000000000003615&rft_dat=%3Cproquest_cross%3E2179480037%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2179480037&rft_id=info:pmid/30694817&rfr_iscdi=true |