OBJECTIVE To evaluate variations in the observation period in the emergency department (ED) in response to bed availability. METHODS A quasi-experimental pre-test post-test study without a control group was conducted in the ED observation ward over 2 1-month periods. During this time the only variable that changed was the number of beds available, which decreased from 20 (pre-test period) to ...

The paper provides theoretical analysis for hospitals’heterogeneity in the response to the change from the the fee-for-service (FFS) system to a per diem prospective payment system with a length-of-stay dependent step-down rate (SDR): hospitals with shorter (longer) average length of stay under FFS have longer (shorter) average length of stay under SDR. We also show that for FFS hospitals with ...

Background It is controversial whether shortening the average length of hospital stay and increasing discharge from a rehabilitation facility to home with either health care or outpatient physical therapy is safe and cost-effective. Methods We computed the average length of hospital stay; the rate of discharge to a rehabilitation facility, home with health care, or home with outpatient physic...

Recent research has shown that the relationship between social deprivation and admission rates varies according to diagnosis. We have replicated a study of this kind. Furthermore, in addition to admission rates, we also look at variations in length of stay and the proportion of readmitted patients. Psychiatric admission data for the 79 Amsterdam neighbourhoods was obtained from the City Psychia...

abstract: background: when organization managed by experienced, competent and well performed managers, the organization will be succeeded in achieving their goals and it will be more effective. objective: this study was designed with the purpose of determining the relationship between managers competency and hospital efficiency in teaching hospital of tehran university of medical sciences durin...