Analyse des séjours hospitaliers : apport des données infirmières

Détails

ID Serval
serval:BIB_8F1C550D50FD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Analyse des séjours hospitaliers : apport des données infirmières
Périodique
Swiss Medical Informatics
Auteur(s)
Mabire Cédric, Eggli Yves, Junger Alain
ISSN
1660-0436
Statut éditorial
Publié
Date de publication
2009
Numéro
66
Pages
6-14
Langue
français
Résumé
Background: In Switzerland the aim of health insurance (LAMaI) is to control rising health costs. One method is to institute a prospective payment system (DRGs) for all Swiss hospitals in 2012, according to which hospital funding will be based only on medical and administrative data.
Question: What is the contribution of nursing to the analysis of hospital stays? Method: On the basis of aIl patient hospital stays in the CHUV (Lausanne) during 2005 and 2006, we have compared a medico-administrative data model and a nursing data model. We used a logistic regression on the probability of patient exit.
Results: The capacity of discrimination of the model is appreciably improved since the surface under curve O.C.R. passes from 0.712 with the casemix data and the rang of day to 0.785 if it's adds data on heaviness of care (pseudo R² respectively 0.096 and 0.152).
Discussion: This approach provides evidence on the feasibility of using standards of care pathway allowing managers to analyse the organisation of patient care and securing a better estimate of hospital funding.
Création de la notice
05/07/2010 15:19
Dernière modification de la notice
20/08/2019 15:52
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