Detail
Article
Online article
FT
Medvik - BMC
  • Something wrong with this record ?

Individual and Regional-level Factors Contributing to Variation in Length of Stay After Cerebral Infarction in Six European Countries

M. Peltola, TT. Seppälä, A. Malmivaara, É. Belicza, D. Numerato, F. Goude, E. Fletcher, R. Heijink, . ,

. 2015 ; 24 Suppl 2 (-) : 38-52.

Language English Country England, Great Britain

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc16027867

Using patient-level data for cerebral infarction cases in 2007, gathered from Finland, Hungary, Italy, the Netherlands, Scotland and Sweden, we studied the variation in risk-adjusted length of stay (LoS) of acute hospital care and 1-year mortality, both within and between countries. In addition, we analysed the variance of LoS and associations of selected regional-level factors with LoS and 1-year mortality after cerebral infarction. The data show that LoS distributions are surprisingly different across countries and that there is significant deviation in the risk-adjusted regional-level LoS in all of the countries studied. We used negative binomial regression to model the individual-level LoS, and random intercept models and ordinary least squares regression for the regional-level analysis of risk-adjusted LoS, variance of LoS, 1-year risk-adjusted mortality and crude mortality for a period of 31-365 days. The observed variations between regions and countries in both LoS and mortality were not fully explained by either patient-level or regional-level factors. The results indicate that there may exist potential for efficiency gains in acute hospital care of cerebral infarction and that healthcare managers could learn from best practices.

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc16027867
003      
CZ-PrNML
005      
20161024101027.0
007      
ta
008      
161005s2015 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1002/hec.3264 $2 doi
024    7_
$a 10.1002/hec.3264 $2 doi
035    __
$a (PubMed)26633867
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Peltola, Mikko $u Centre for Health and Social Economics CHESS, National Institute for Health and Welfare, Helsinki, Finland.
245    10
$a Individual and Regional-level Factors Contributing to Variation in Length of Stay After Cerebral Infarction in Six European Countries / $c M. Peltola, TT. Seppälä, A. Malmivaara, É. Belicza, D. Numerato, F. Goude, E. Fletcher, R. Heijink, . ,
520    9_
$a Using patient-level data for cerebral infarction cases in 2007, gathered from Finland, Hungary, Italy, the Netherlands, Scotland and Sweden, we studied the variation in risk-adjusted length of stay (LoS) of acute hospital care and 1-year mortality, both within and between countries. In addition, we analysed the variance of LoS and associations of selected regional-level factors with LoS and 1-year mortality after cerebral infarction. The data show that LoS distributions are surprisingly different across countries and that there is significant deviation in the risk-adjusted regional-level LoS in all of the countries studied. We used negative binomial regression to model the individual-level LoS, and random intercept models and ordinary least squares regression for the regional-level analysis of risk-adjusted LoS, variance of LoS, 1-year risk-adjusted mortality and crude mortality for a period of 31-365 days. The observed variations between regions and countries in both LoS and mortality were not fully explained by either patient-level or regional-level factors. The results indicate that there may exist potential for efficiency gains in acute hospital care of cerebral infarction and that healthcare managers could learn from best practices.
650    _2
$a dospělí $7 D000328
650    _2
$a senioři $7 D000368
650    _2
$a senioři nad 80 let $7 D000369
650    _2
$a cerebrální infarkt $x ekonomika $x mortalita $7 D002544
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    _2
$a délka pobytu $x ekonomika $x statistika a číselné údaje $7 D007902
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a lidé středního věku $7 D008875
650    _2
$a regresní analýza $7 D012044
650    _2
$a mladý dospělý $7 D055815
651    _2
$a Evropa $x epidemiologie $7 D005060
655    _2
$a časopisecké články $7 D016428
700    1_
$a Seppälä, Timo T $u Centre for Health and Social Economics CHESS, National Institute for Health and Welfare, Helsinki, Finland.
700    1_
$a Malmivaara, Antti $u Centre for Health and Social Economics CHESS, National Institute for Health and Welfare, Helsinki, Finland.
700    1_
$a Belicza, Éva $u Semmelweis University, Budapest, Hungary.
700    1_
$a Numerato, Dino $u Centre for Research on Health and Social Care Management, Bocconi University, Milano, Italy. Department of Sociology, Faculty of Social Sciences, Charles University, Prague, The Czech Republic.
700    1_
$a Goude, Fanny $u Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
700    1_
$a Fletcher, Eilidh $u National Health Services, Edinburgh, Scotland.
700    1_
$a Heijink, Richard $u National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
700    1_
$a ,
773    0_
$w MED00001989 $t Health economics $x 1099-1050 $g Roč. 24 Suppl 2, č. - (2015), s. 38-52
856    41
$u https://pubmed.ncbi.nlm.nih.gov/26633867 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20161005 $b ABA008
991    __
$a 20161024101440 $b ABA008
999    __
$a ok $b bmc $g 1166181 $s 952497
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2015 $b 24 Suppl 2 $c - $d 38-52 $i 1099-1050 $m Health economics $n Health Econ $x MED00001989
LZP    __
$a Pubmed-20161005

Find record

Citation metrics

Archiving options