Lessons from the pandemic: Relationship between patient visits and patient length of stay in California's health system.

IF 3.6 2区 医学 Q1 HEALTH POLICY & SERVICES Health Research Policy and Systems Pub Date : 2025-01-21 DOI:10.1186/s12961-024-01283-8
David D Cho, Yu Wang
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Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic placed a heavy strain on the United States healthcare system. Common hospital operational performances were impacted to varying degrees by the pandemic. This study examined the healthcare operational measures during COVID-19 pandemic.

Methods: This cross-sectional study examined the COVID-19 cases and death counts of 56 California counties and hospital-level utilization data of 397 hospitals in California from January 2019 to March 2021.

Results: A total of 56 California counties were analysed, of which 37 counties were urban and 19 counties were rural. Average patient length of stay was positively associated with the number of intensive care unit visits by COVID-19 patients for all counties, as well as urban and rural counties separately. However, average patient length of stay was negatively associated with the number of inpatient visits by COVID-19 patients for all counties and urban counties.

Conclusions: The findings suggest that, while the need for additional beds and nursing staff in intensive care units exceeded initial estimates, there were also opportunities to streamline the care process for improved efficiency in regular acute care units. The understanding of factors impacting average patient length of stay would be valuable for hospital administrators in optimizing resource allocation and utilization to balance patient outcomes with financial sustainability during disruptive events.

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大流行的教训:患者就诊与患者在加州卫生系统停留时间之间的关系。
背景:2019冠状病毒病(COVID-19)大流行给美国医疗保健系统带来了沉重的压力。普通医院的业务业绩受到疫情不同程度的影响。本研究考察了COVID-19大流行期间的医疗保健操作措施。方法:本横断面研究分析了2019年1月至2021年3月加利福尼亚州56个县的COVID-19病例和死亡人数以及加利福尼亚州397家医院的医院级利用数据。结果:共分析了加州56个县,其中37个县为城市县,19个县为农村县。在所有县以及城市县和农村县,患者平均住院时间与COVID-19患者重症监护病房就诊次数呈正相关。然而,在所有县和城市县,患者平均住院时间与COVID-19患者住院次数呈负相关。结论:研究结果表明,虽然重症监护室对额外床位和护理人员的需求超过了最初的估计,但也有机会简化护理过程,以提高常规急性护理病房的效率。了解影响患者平均住院时间的因素对于医院管理人员优化资源分配和利用以平衡患者结果和破坏性事件期间的财务可持续性具有重要价值。
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来源期刊
Health Research Policy and Systems
Health Research Policy and Systems HEALTH POLICY & SERVICES-
CiteScore
7.50
自引率
7.50%
发文量
124
审稿时长
27 weeks
期刊介绍: Health Research Policy and Systems is an Open Access, peer-reviewed, online journal that aims to provide a platform for the global research community to share their views, findings, insights and successes. Health Research Policy and Systems considers manuscripts that investigate the role of evidence-based health policy and health research systems in ensuring the efficient utilization and application of knowledge to improve health and health equity, especially in developing countries. Research is the foundation for improvements in public health. The problem is that people involved in different areas of research, together with managers and administrators in charge of research entities, do not communicate sufficiently with each other.
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