Abstract：
OBJECTIVE:To determine if sufficient nurse staffing reduced in-hospital fractures in acute care hospitals. DATA SOURCES/STUDY SETTING:The Japanese Diagnosis Procedure Combination inpatient (DPC) database from July 2010 to March 2014 linked with the Surveys for Medical Institutions. STUDY DESIGN:We conducted a retrospective cohort study to examine the association of inpatient nurse-to-occupied bed ratio (NBR) with in-hospital fractures. Multivariable logistic regression with generalized estimating equations was performed, adjusting for patient characteristics and hospital characteristics. DATA COLLECTION/EXTRACTION METHODS:We identified 770,373 patients aged 50 years or older who underwent planned major surgery for some forms of cancer or cardiovascular diseases. We used ICD-10 codes and postoperative procedure codes to identify patients with in-hospital fractures. Hospital characteristics were obtained from the "Survey of Medical Institutions and Hospital Report" and "Annual Report for Functions of Medical Institutions." PRINCIPAL FINDINGS:Overall, 662 (0.09 percent) in-hospital fractures were identified. Logistic regression analysis showed that the proportion of in-hospital fractures in the group with the highest NBR was significantly lower than that in the group with the lowest NBR (adjusted odd ratios, 0.67; 95 percent confidence interval, 0.44-0.99; p = .048). CONCLUSIONS:Sufficient nurse staffing may be important to reduce postsurgical in-hospital fractures in acute care hospitals.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Morita K,Matsui H,Fushimi K,Yasunaga Hdoi
10.1111/1475-6773.12529subject
Has Abstractpub_date
2017-06-01 00:00:00pages
1005-1023issue
3eissn
0017-9124issn
1475-6773journal_volume
52pub_type
杂志文章abstract：:This article analyzes three methods used to forecast the transition of long-term care clients through a variety of possible home and facility placements and levels of care. The test population (N = 1,653) is derived from the larger population of clients admitted in 1978 to British Columbia's newly established Long-Ter...
journal_title：Health services research
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更新日期：1985-10-01 00:00:00
abstract：OBJECTIVE:To test whether nonprofit, for-profit, or government hospital ownership affects medical service provision in rural hospital markets, either directly or through the spillover effects of ownership mix. DATA SOURCES/STUDY SETTING:Data are from the American Hospital Association, U.S. Census, CMS Healthcare Cost ...
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abstract：OBJECTIVE:Pay-for-performance (P4P) is commonly used to improve health care quality in the United States and is expected to be frequently implemented under the Affordable Care Act. However, evidence supporting its use is mixed with few large-scale, rigorous evaluations of P4P. This study tests the effect of P4P on qual...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12035
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:To demonstrate how expanding services covered by a "bundled payment" can also expand variation in the costs of treating patients under the bundle, using the Medicare dialysis program as an example. DATA SOURCES/STUDY SETTING:Observational claims-based study of 197,332 Medicare hemodialysis beneficiaries enro...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12202
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:An ecological framework is proposed for assessing factors important to consider in allocating funds to promote sound performance of interorganizational programs. DATA SOURCE/STUDY SETTING:This framework is used to examine the first generation of Community Clinical Oncology Programs (CCOPs) funded by the Nati...
journal_title：Health services research
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更新日期：1993-04-01 00:00:00
abstract：OBJECTIVE:To examine the effects of varying diagnostic and pharmaceutical criteria on the performance of claims-based algorithms for identifying beneficiaries with hypertension, heart failure, chronic lung disease, arthritis, glaucoma, and diabetes. STUDY SETTING:Secondary 1999-2000 data from two Medicare+Choice healt...
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2004.00321.x
更新日期：2004-12-01 00:00:00
abstract：OBJECTIVE:Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. DATA SOURCES AND STUDY SETTING:Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through No...
journal_title：Health services research
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更新日期：1994-10-01 00:00:00
abstract：OBJECTIVES:To study the impact of eliminating cost sharing for screening mammography on mammography rates in a large Medicare Advantage (MA) health plan which in 2010 eliminated cost sharing in anticipation of the Affordable Care Act mandate. STUDY SETTING:Large MA health maintenance organization offering individual-s...
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doi：10.1111/1475-6773.12486
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To estimate the effects of competition for both Medicare and HMO patients on the quality decisions of hospitals in Southern California. DATA SOURCE:Secondary discharge data from the Office of Statewide Health Planning and Development for the State of California for the period 1989-1993. STUDY DESIGN:Outcome...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2003.00185.x
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVE:To describe how the organization and dynamics of health systems changed between 1999 and 2001, in the context of expectations from the mid-1990s when managed care was in ascendance, and assess the implications for consumers and policymakers. DATA SOURCES/STUDY SETTING:Data are from the Community Tracking Stu...
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doi：10.1111/1475-6773.00119
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1982-01-01 00:00:00
abstract：:Alternative delivery systems, such as HMOs, PPOs, and primary care case-management programs, have a long history in rural America despite significant impediments to their development. However, little is known about the effect of these systems on rural communities and their medical care delivery systems. Existing studi...
journal_title：Health services research
pub_type： 历史文章,杂志文章,评审
doi：
更新日期：1989-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2005.00467.x
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVE:To determine if members of commercial managed care and Medicaid managed care rate the experience with their health plans differently. DATA SOURCES:Data from both commercial and Medicaid Consumer Assessment of Health Plan Surveys (CAHPS) in New York State. STUDY DESIGN:Regression models were used to determin...
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doi：10.1111/1475-6773.00166
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1034/j.1600-0560.2002.58.x
更新日期：2002-08-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1986-02-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
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doi：10.1111/j.1475-6773.2007.00795.x
更新日期：2007-12-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1111/j.1475-6773.2008.00865.x
更新日期：2008-10-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2009.00994.x
更新日期：2009-10-01 00:00:00
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doi：10.1111/1475-6773.13052
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更新日期：1997-10-01 00:00:00
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doi：10.1111/j.1475-6773.2004.00291.x
更新日期：2004-10-01 00:00:00
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doi：10.1111/1475-6773.12276
更新日期：2015-08-01 00:00:00
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更新日期：1998-10-01 00:00:00
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更新日期：2005-04-01 00:00:00
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journal_title：Health services research
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doi：10.1111/1475-6773.13046
更新日期：2018-12-01 00:00:00
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journal_title：Health services research
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doi：10.1111/j.1475-6773.2011.01245.x
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:To examine concordance between member self-reports and the organization's administrative claims data for two key health factors: number of chronic conditions, and number of prescription drugs. DATA:Medicare Advantage plan claims data and member survey data from 2011 to 2012. DESIGN:Mailed surveys to 15,000 ...
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doi：10.1111/1475-6773.12356
更新日期：2016-06-01 00:00:00
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更新日期：2012-04-01 00:00:00
