Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study
Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail healthcare pro...
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| Veröffentlicht in: | BMC health services research 2013-02, Vol.13 (1), p.42-42, Article 42 |
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| creator | van Oostveen, Catharina J Vermeulen, Hester Gouma, Dirk J Bakker, Piet J Ubbink, Dirk T |
| description | Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail healthcare professionals and managers in determining the demand and costs for clinical care.
Six surgical wards in a Dutch university hospital participated in this prospective time and motion study. Surgeons, nurses and paramedics recorded the time spent on patient care 24/7 by means of PDAs. The investigators extracted possible determining characteristics from a previous systematic review and expert focus group. Total amount of care needed by the patients was expressed as costs involved in medical and nursing time, surgical interventions and diagnostics. Afterwards the investigators applied linear regression analysis to detect significant independent characteristics.
174 Surgical patients were monitored during their hospital stay. Characteristics significantly influencing the consumed amount of care were: medication during hospitalisation, complications, co-morbidity, medical specialty, age, as well as undergoing surgery and length of stay. Median costs for care were €8.446 per patient admission.
The investigators developed a model that explains the total demand and costs of care needed for surgical patients in a university hospital. The input for this instrument can be derived from readily available data in hospital databases. This makes it a relatively easy instrument to help healthcare professionals and managers appreciate the amount of care needed on (surgical) wards and may be used to appreciate trends in time. |
| doi_str_mv | 10.1186/1472-6963-13-42 |
| format | Article |
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Six surgical wards in a Dutch university hospital participated in this prospective time and motion study. Surgeons, nurses and paramedics recorded the time spent on patient care 24/7 by means of PDAs. The investigators extracted possible determining characteristics from a previous systematic review and expert focus group. Total amount of care needed by the patients was expressed as costs involved in medical and nursing time, surgical interventions and diagnostics. Afterwards the investigators applied linear regression analysis to detect significant independent characteristics.
174 Surgical patients were monitored during their hospital stay. Characteristics significantly influencing the consumed amount of care were: medication during hospitalisation, complications, co-morbidity, medical specialty, age, as well as undergoing surgery and length of stay. Median costs for care were €8.446 per patient admission.
The investigators developed a model that explains the total demand and costs of care needed for surgical patients in a university hospital. The input for this instrument can be derived from readily available data in hospital databases. This makes it a relatively easy instrument to help healthcare professionals and managers appreciate the amount of care needed on (surgical) wards and may be used to appreciate trends in time.</description><identifier>ISSN: 1472-6963</identifier><identifier>EISSN: 1472-6963</identifier><identifier>DOI: 10.1186/1472-6963-13-42</identifier><identifier>PMID: 23379756</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Budgets ; Care and treatment ; Comorbidity ; Connective tissue ; Costs ; Digestive system ; Female ; Health services ; Homeopathy ; Hospital patients ; Hospitalization ; Hospitals ; Humans ; Intensive care ; Length of stay ; Male ; Materia medica and therapeutics ; Medical personnel ; Meetings ; Middle Aged ; Morbidity ; Musculoskeletal system ; Netherlands ; Nurses ; Nursing ; Nursing care ; Nursing Staff, Hospital ; Paramedics ; Patients ; Perioperative Care - utilization ; Poisoning ; Pressure ulcers ; Professionals ; Prospective Studies ; Psychological aspects ; Regression Analysis ; Surgeons ; Surgery ; Surgery Department, Hospital ; Therapeutics ; Time and Motion Studies ; Trauma ; Tumors ; Ulcers ; Urogenital system ; Workload ; Workloads ; Young Adult</subject><ispartof>BMC health services research, 2013-02, Vol.13 (1), p.42-42, Article 42</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 van Oostveen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright ©2013 van Oostveen et al; licensee BioMed Central Ltd. 2013 van Oostveen et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b547t-bd729f580126ec13ddf05f76330dd50ce38a1e52480441dd4be7a2ddb3419c833</citedby><cites>FETCH-LOGICAL-b547t-bd729f580126ec13ddf05f76330dd50ce38a1e52480441dd4be7a2ddb3419c833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599528/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599528/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27911,27912,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23379756$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Oostveen, Catharina J</creatorcontrib><creatorcontrib>Vermeulen, Hester</creatorcontrib><creatorcontrib>Gouma, Dirk J</creatorcontrib><creatorcontrib>Bakker, Piet J</creatorcontrib><creatorcontrib>Ubbink, Dirk T</creatorcontrib><title>Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study</title><title>BMC health services research</title><addtitle>BMC Health Serv Res</addtitle><description>Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail healthcare professionals and managers in determining the demand and costs for clinical care.
Six surgical wards in a Dutch university hospital participated in this prospective time and motion study. Surgeons, nurses and paramedics recorded the time spent on patient care 24/7 by means of PDAs. The investigators extracted possible determining characteristics from a previous systematic review and expert focus group. Total amount of care needed by the patients was expressed as costs involved in medical and nursing time, surgical interventions and diagnostics. Afterwards the investigators applied linear regression analysis to detect significant independent characteristics.
174 Surgical patients were monitored during their hospital stay. Characteristics significantly influencing the consumed amount of care were: medication during hospitalisation, complications, co-morbidity, medical specialty, age, as well as undergoing surgery and length of stay. Median costs for care were €8.446 per patient admission.
The investigators developed a model that explains the total demand and costs of care needed for surgical patients in a university hospital. The input for this instrument can be derived from readily available data in hospital databases. This makes it a relatively easy instrument to help healthcare professionals and managers appreciate the amount of care needed on (surgical) wards and may be used to appreciate trends in time.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Budgets</subject><subject>Care and treatment</subject><subject>Comorbidity</subject><subject>Connective tissue</subject><subject>Costs</subject><subject>Digestive system</subject><subject>Female</subject><subject>Health services</subject><subject>Homeopathy</subject><subject>Hospital patients</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Length of stay</subject><subject>Male</subject><subject>Materia medica and therapeutics</subject><subject>Medical personnel</subject><subject>Meetings</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Musculoskeletal system</subject><subject>Netherlands</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Staff, Hospital</subject><subject>Paramedics</subject><subject>Patients</subject><subject>Perioperative Care - utilization</subject><subject>Poisoning</subject><subject>Pressure ulcers</subject><subject>Professionals</subject><subject>Prospective Studies</subject><subject>Psychological aspects</subject><subject>Regression Analysis</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery Department, Hospital</subject><subject>Therapeutics</subject><subject>Time and Motion Studies</subject><subject>Trauma</subject><subject>Tumors</subject><subject>Ulcers</subject><subject>Urogenital system</subject><subject>Workload</subject><subject>Workloads</subject><subject>Young Adult</subject><issn>1472-6963</issn><issn>1472-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1Uk1v1DAQtRCIltIzN2SJC5e0_kqccEAqVQtIlXopZ8uxJ7suiR1ip-r-exxtu-2iIh9sz7x5M_NmEPpAyQmldXVKhWRF1VS8oLwQ7BU63FleP3sfoHcx3hJCZc3kW3TAOJeNLKtD9Pvifuy1886vcFoD1kOYfcKhw0ZPgD2ABYvbDV6HOLqkexfzP87Tyhnd41EnBz7FL1jjccoQMMndAU5uyFze4iEkFzyOabab9-hNp_sIxw_3Efp1eXFz_qO4uv7-8_zsqmhLIVPRWsmarqwJZRUYyq3tSNnJinNibUkM8FpTKJmoiRDUWtGC1MzalgvamJrzI_R1yzvO7QDW5AIn3atxcoOeNipop_Y93q3VKtwpXjZNyepM8G1L0LrwH4J9jwmDWsRWi9iKciVYJvn8UMUU_swQkxpcNND32kOYY0blaYiaiiXfp3-gt2GefNZoQVUkD47LJ9RK96Cc70LObRZSdVZyUfEs25L25AVUPhYGZ4KHzmX7XsDpNsDk-cUJul2flKhlyV7o7ONzfXf4x63ifwGtzM1b</recordid><startdate>20130204</startdate><enddate>20130204</enddate><creator>van Oostveen, Catharina J</creator><creator>Vermeulen, Hester</creator><creator>Gouma, Dirk J</creator><creator>Bakker, Piet J</creator><creator>Ubbink, Dirk T</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130204</creationdate><title>Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study</title><author>van Oostveen, Catharina J ; Vermeulen, Hester ; Gouma, Dirk J ; Bakker, Piet J ; Ubbink, Dirk T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b547t-bd729f580126ec13ddf05f76330dd50ce38a1e52480441dd4be7a2ddb3419c833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Budgets</topic><topic>Care and treatment</topic><topic>Comorbidity</topic><topic>Connective tissue</topic><topic>Costs</topic><topic>Digestive system</topic><topic>Female</topic><topic>Health services</topic><topic>Homeopathy</topic><topic>Hospital patients</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Length of stay</topic><topic>Male</topic><topic>Materia medica and therapeutics</topic><topic>Medical personnel</topic><topic>Meetings</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Musculoskeletal system</topic><topic>Netherlands</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nursing Staff, Hospital</topic><topic>Paramedics</topic><topic>Patients</topic><topic>Perioperative Care - utilization</topic><topic>Poisoning</topic><topic>Pressure ulcers</topic><topic>Professionals</topic><topic>Prospective Studies</topic><topic>Psychological aspects</topic><topic>Regression Analysis</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgery Department, Hospital</topic><topic>Therapeutics</topic><topic>Time and Motion Studies</topic><topic>Trauma</topic><topic>Tumors</topic><topic>Ulcers</topic><topic>Urogenital system</topic><topic>Workload</topic><topic>Workloads</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Oostveen, Catharina J</creatorcontrib><creatorcontrib>Vermeulen, Hester</creatorcontrib><creatorcontrib>Gouma, Dirk J</creatorcontrib><creatorcontrib>Bakker, Piet J</creatorcontrib><creatorcontrib>Ubbink, Dirk T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Oostveen, Catharina J</au><au>Vermeulen, Hester</au><au>Gouma, Dirk J</au><au>Bakker, Piet J</au><au>Ubbink, Dirk T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study</atitle><jtitle>BMC health services research</jtitle><addtitle>BMC Health Serv Res</addtitle><date>2013-02-04</date><risdate>2013</risdate><volume>13</volume><issue>1</issue><spage>42</spage><epage>42</epage><pages>42-42</pages><artnum>42</artnum><issn>1472-6963</issn><eissn>1472-6963</eissn><abstract>Hospitals provide care for patients with a variety of diseases, co-morbidities and complications. The actual amount of care these patients need is unclear. Given the recent developments such as ageing, multi-morbidity and budgetary restraints, a practical explanatory model would avail healthcare professionals and managers in determining the demand and costs for clinical care.
Six surgical wards in a Dutch university hospital participated in this prospective time and motion study. Surgeons, nurses and paramedics recorded the time spent on patient care 24/7 by means of PDAs. The investigators extracted possible determining characteristics from a previous systematic review and expert focus group. Total amount of care needed by the patients was expressed as costs involved in medical and nursing time, surgical interventions and diagnostics. Afterwards the investigators applied linear regression analysis to detect significant independent characteristics.
174 Surgical patients were monitored during their hospital stay. Characteristics significantly influencing the consumed amount of care were: medication during hospitalisation, complications, co-morbidity, medical specialty, age, as well as undergoing surgery and length of stay. Median costs for care were €8.446 per patient admission.
The investigators developed a model that explains the total demand and costs of care needed for surgical patients in a university hospital. The input for this instrument can be derived from readily available data in hospital databases. This makes it a relatively easy instrument to help healthcare professionals and managers appreciate the amount of care needed on (surgical) wards and may be used to appreciate trends in time.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23379756</pmid><doi>10.1186/1472-6963-13-42</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; Springer Nature OA Free Journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Budgets Care and treatment Comorbidity Connective tissue Costs Digestive system Female Health services Homeopathy Hospital patients Hospitalization Hospitals Humans Intensive care Length of stay Male Materia medica and therapeutics Medical personnel Meetings Middle Aged Morbidity Musculoskeletal system Netherlands Nurses Nursing Nursing care Nursing Staff, Hospital Paramedics Patients Perioperative Care - utilization Poisoning Pressure ulcers Professionals Prospective Studies Psychological aspects Regression Analysis Surgeons Surgery Surgery Department, Hospital Therapeutics Time and Motion Studies Trauma Tumors Ulcers Urogenital system Workload Workloads Young Adult |
| title | Explaining the amount of care needed by hospitalised surgical patients: a prospective time and motion study |
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