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The quality of internal medicine hospital care during summer holiday season.

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  • المؤلفون: Sipilä J;Sipilä J;Sipilä J; Kauko T; Kytö V; Stormi T; Rautava P
  • المصدر:
    Journal of evaluation in clinical practice [J Eval Clin Pract] 2014 Aug; Vol. 20 (4), pp. 327-32. Date of Electronic Publication: 2014 Apr 29.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9609066 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2753 (Electronic) Linking ISSN: 13561294 NLM ISO Abbreviation: J Eval Clin Pract Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Oxford, England : Wiley-Blackwell, c1995-
    • الموضوع:
      Hospital Mortality* ; Hospitalization* ; Quality of Health Care*; Internal Medicine/*standards ; Length of Stay/*statistics & numerical data; Aged ; Aged, 80 and over ; Female ; Finland/epidemiology ; Humans ; Male ; Middle Aged ; Registries ; Seasons
    • نبذة مختصرة :
      Rationale, Aims and Objectives: The July/August Phenomenon is a period when the quality of care in hospitals is thought to decrease due to summer vacation stand-ins and new staff. The results of studies on the veracity of this claim have been conflicting. This study investigates the situation in internal medicine.
      Methods: Registry data of patients treated in internal medicine wards between 1 July 2000 and 30 November 2009 were obtained and analysed.
      Results: There were no differences in mortality during the July admissions compared with those in November when adjusting for age, diagnosis, gender and year [for the overall data risk ratio (RR) = 1.10, 95% confidence interval (CI) 1.00-1.23, P = 0.06; for the university hospitals RR = 1.10, 95% CI 0.91-1.33, P = 0.34; for the non-university hospitals RR = 1.10, 95% CI 0.97-1.26, P = 0.13]. The duration of admission (overall mean 4.5, standard deviation 6.0) was equal between July and November when adjusted for age, diagnosis, gender and year in all groups (overall data: RR = 1.00, 95% CI 0.99-1.02, P = 0.83; university hospitals RR = 1.02, 95% CI 0.99-1.04, P = 0.13; non-university hospitals RR = 1.00, 95% CI 0.98-1.01, P = 0.67).
      Conclusions: The quality of care in Finnish internal medicine wards in July seems to equal November. Our results do not support the existence of a July Phenomenon in Finland.
      (© 2014 John Wiley & Sons, Ltd.)
    • Contributed Indexing:
      Keywords: hospital mortality; internal medicine; length of stay; personnel staffing
    • الموضوع:
      Date Created: 20140501 Date Completed: 20150414 Latest Revision: 20140721
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.1111/jep.12130
    • الرقم المعرف:
      24779454