An Examination of Relationships among Nursing Services Utilization, an Estimate of Population Health and Overall Health Status Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/152727
Type:
Presentation
Title:
An Examination of Relationships among Nursing Services Utilization, an Estimate of Population Health and Overall Health Status Outcomes
Abstract:
An Examination of Relationships among Nursing Services Utilization, an Estimate of Population Health and Overall Health Status Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:O'Brien-Pallas, Linda L., RN, PhD
P.I. Institution Name:University of Toronto
Title:Professor & CHSRF/CIHR National Chair in Nursing Human Resources
Objective: The study examined 1) whether population health needs explain variation in self-report of overnight hospital services (as a proxy for self-report use of nursing services) and in nursing utilization, and 2) whether nursing utilization explains variations in hospital-level outcomes. Sample: The sample includes individuals living in Ontario, Canada and who were randomly selected to participate in 1996 and 2001 health surveys. Methods: The unit of analysis is acute care hospitals in Ontario, Canada and the population age 20 and over which they serve. The research team developed a method of defining hospital catchment areas that allows for overlapping service areas, and gives greater weight to populations that make greater use of the facility. Moreover, this method facilitates the measurement of “need” indicators for the catchment populations. Findings: Catchment area populations with higher proportions of chronic conditions and disabilities have higher proportions of overnight patient hospital stays compared to catchment areas with lower proportions of chronic conditions and disabilities. Nursing hours per patient day has a significant negative effect on length of stay. In other words, the more nursing hours worked on a daily basis in a hospital, the shorter the average length of patient stay in that hospital. Conclusions: While populations with higher proportions of chronic health conditions and disabilities will stay overnight in hospitals longer, variations in nurse supply may be affecting the ability of hospitals to provide the appropriate level of care for the populations they serve. More nursing hours per day leads to shorter lengths of stay. Implications: Decision makers should take into account that although it may increase costs to have more nursing hours, costs may be decreased by the lower average length of patient stay and potential increased throughput. Increased throughput may lead to increased access to hospital services and decreased wait time.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Examination of Relationships among Nursing Services Utilization, an Estimate of Population Health and Overall Health Status Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152727-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Examination of Relationships among Nursing Services Utilization, an Estimate of Population Health and Overall Health Status Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">O'Brien-Pallas, Linda L., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Toronto</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor &amp; CHSRF/CIHR National Chair in Nursing Human Resources</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">l.obrien.pallas@utoronto.ca</td></tr><tr><td colspan="2" class="item-abstract">Objective: The study examined 1) whether population health needs explain variation in self-report of overnight hospital services (as a proxy for self-report use of nursing services) and in nursing utilization, and 2) whether nursing utilization explains variations in hospital-level outcomes. Sample: The sample includes individuals living in Ontario, Canada and who were randomly selected to participate in 1996 and 2001 health surveys. Methods: The unit of analysis is acute care hospitals in Ontario, Canada and the population age 20 and over which they serve. The research team developed a method of defining hospital catchment areas that allows for overlapping service areas, and gives greater weight to populations that make greater use of the facility. Moreover, this method facilitates the measurement of &ldquo;need&rdquo; indicators for the catchment populations. Findings: Catchment area populations with higher proportions of chronic conditions and disabilities have higher proportions of overnight patient hospital stays compared to catchment areas with lower proportions of chronic conditions and disabilities. Nursing hours per patient day has a significant negative effect on length of stay. In other words, the more nursing hours worked on a daily basis in a hospital, the shorter the average length of patient stay in that hospital. Conclusions: While populations with higher proportions of chronic health conditions and disabilities will stay overnight in hospitals longer, variations in nurse supply may be affecting the ability of hospitals to provide the appropriate level of care for the populations they serve. More nursing hours per day leads to shorter lengths of stay. Implications: Decision makers should take into account that although it may increase costs to have more nursing hours, costs may be decreased by the lower average length of patient stay and potential increased throughput. Increased throughput may lead to increased access to hospital services and decreased wait time.</td></tr></table>en_GB
dc.date.available2011-10-26T11:47:29Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T11:47:29Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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