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. 1996 Sep;5(3):172–179. doi: 10.1136/qshc.5.3.172

Why are we trying to reduce length of stay? Evaluation of the costs and benefits of reducing time in hospital must start from the objectives that govern change.

A Clarke 1
PMCID: PMC1055402  PMID: 10161532

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adler M. W., Waller J. J., Creese A., Thorne S. C. Randomised controlled trial of early discharge for inguinal hernia and varicose veins. J Epidemiol Community Health. 1978 Jun;32(2):136–142. doi: 10.1136/jech.32.2.136. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Adler M. W., Waller J. J., Day I., Kasap H. S., King C., Thorne S. C. A randomized controlled trial of early discharge for inguinal hernia and varicose veins: some problems of methodology. Med Care. 1974 Jun;12(6):541–547. doi: 10.1097/00005650-197406000-00007. [DOI] [PubMed] [Google Scholar]
  3. Beech R., Withey C., Morris R. Understanding variations in lengths of stay between hospitals for fractured neck of femur patients and the potential consequences of reduced stay targets. J Public Health Med. 1995 Mar;17(1):77–84. [PubMed] [Google Scholar]
  4. Black N., Petticrew M., Hunter D., Sanderson C. Day surgery: development of a national comparative audit service. Qual Health Care. 1993 Sep;2(3):162–166. doi: 10.1136/qshc.2.3.162. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Black N., Sanderson C. Day surgery; development of a questionnaire for eliciting patients' experiences. Qual Health Care. 1993 Sep;2(3):157–161. doi: 10.1136/qshc.2.3.157. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bradbury R. C., Golec J. H., Stearns F. E. Comparing hospital length of stay in independent practice association HMOs and traditional insurance programs. Inquiry. 1991 Spring;28(1):87–93. [PubMed] [Google Scholar]
  7. Broderick A., Mori M., Nettleman M. D., Streed S. A., Wenzel R. P. Nosocomial infections: validation of surveillance and computer modeling to identify patients at risk. Am J Epidemiol. 1990 Apr;131(4):734–742. doi: 10.1093/oxfordjournals.aje.a115558. [DOI] [PubMed] [Google Scholar]
  8. Burns L. R., Wholey D. R. The effects of patient, hospital, and physician characteristics on length of stay and mortality. Med Care. 1991 Mar;29(3):251–271. doi: 10.1097/00005650-199103000-00007. [DOI] [PubMed] [Google Scholar]
  9. Chen E., Naylor C. D. Variation in hospital length of stay for acute myocardial infarction in Ontario, Canada. Med Care. 1994 May;32(5):420–435. doi: 10.1097/00005650-199405000-00002. [DOI] [PubMed] [Google Scholar]
  10. Cleary P. D., Greenfield S., Mulley A. G., Pauker S. G., Schroeder S. A., Wexler L., McNeil B. J. Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California. JAMA. 1991 Jul 3;266(1):73–79. [PubMed] [Google Scholar]
  11. Epstein A. M., Bogen J., Dreyer P., Thorpe K. E. Trends in length of stay and rates of readmission in Massachusetts: implications for monitoring quality of care. Inquiry. 1991 Spring;28(1):19–28. [PubMed] [Google Scholar]
  12. Evans R. G., Robinson G. C. Surgical day care: measurements of the economic payoff. Can Med Assoc J. 1980 Nov 8;123(9):873–880. [PMC free article] [PubMed] [Google Scholar]
  13. Flood A. B., Ewy W., Scott W. R., Forrest W. H., Jr, Brown B. W., Jr The relationship between intensity and duration of medical services and outcomes for hospitalized patients. Med Care. 1979 Nov;17(11):1088–1102. doi: 10.1097/00005650-197911000-00002. [DOI] [PubMed] [Google Scholar]
  14. Griffiths M., Oblin M. E., Acheson E. D. Sickness absence after inguinal herniorrhaphy. J Epidemiol Community Health. 1979 Jun;33(2):121–126. doi: 10.1136/jech.33.2.121. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Griffiths M., Waters W. E., Acheson E. D. Variation in hospital stay after inguinal herniorrhaphy. Br Med J. 1979 Mar 24;1(6166):787–789. doi: 10.1136/bmj.1.6166.787. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. HEASMAN M. A. HOW LONG IN HOSPITAL?A STUDY IN VARIATION IN DURATION OF STAY FOR TWO COMMON SURGICAL CONDITIONS. Lancet. 1964 Sep 12;2(7359):539–541. [PubMed] [Google Scholar]
  17. Hadley J., Zuckerman S., Feder J. Profits and fiscal pressure in the prospective payment system: their impacts on hospitals. Inquiry. 1989 Fall;26(3):354–365. [PubMed] [Google Scholar]
  18. Hollingworth W., Todd C., Parker M., Roberts J. A., Williams R. Cost analysis of early discharge after hip fracture. BMJ. 1993 Oct 9;307(6909):903–906. doi: 10.1136/bmj.307.6909.903. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Johnson A. N., Dowd B., Morris N. E., Lurie N. Differences in inpatient resource use by type of health plan. Inquiry. 1989 Fall;26(3):388–398. [PubMed] [Google Scholar]
  20. Johnston M., Wakeling A., Graham N., Stokes F. Cognitive impairment, emotional disorder and length of stay of elderly patients in a district general hospital. Br J Med Psychol. 1987 Jun;60(Pt 2):133–139. doi: 10.1111/j.2044-8341.1987.tb02723.x. [DOI] [PubMed] [Google Scholar]
  21. Jönsson B., Lindgren B. Five common fallacies in estimating the economic gains of early discharge. Soc Sci Med Med Econ. 1980 Mar;14(1):27–33. doi: 10.1016/0160-7995(80)90005-2. [DOI] [PubMed] [Google Scholar]
  22. Lord S. R. Hip fractures: changing patterns in hospital bed use in NSW between 1979 and 1990. Aust N Z J Surg. 1993 May;63(5):352–355. doi: 10.1111/j.1445-2197.1993.tb00401.x. [DOI] [PubMed] [Google Scholar]
  23. Maguire P. A., Taylor I. C., Stout R. W. Elderly patients in acute medical wards: factors predicting length of stay in hospital. Br Med J (Clin Res Ed) 1986 May 10;292(6530):1251–1253. doi: 10.1136/bmj.292.6530.1251. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Marchette L., Holloman F. Length of stay. Significant variables. J Nurs Adm. 1986 Mar;16(3):12–19. [PubMed] [Google Scholar]
  25. McPherson K. Length of stay and health outcome. Br Med J (Clin Res Ed) 1984 Jun 23;288(6434):1854–1855. doi: 10.1136/bmj.288.6434.1854. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Michaels J. A., Reece-Smith H., Faber R. G. Case-control study of patient satisfaction with day-case and inpatient inguinal hernia repair. J R Coll Surg Edinb. 1992 Apr;37(2):99–100. [PubMed] [Google Scholar]
  27. Morgan M., Beech R. Variations in lengths of stay and rates of day case surgery: implications for the efficiency of surgical management. J Epidemiol Community Health. 1990 Jun;44(2):90–105. doi: 10.1136/jech.44.2.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Morris D., Ward A. W., Handyside A. J. Early discharge after hernia repair. Lancet. 1968 Mar 30;1(7544):681–685. doi: 10.1016/s0140-6736(68)92114-4. [DOI] [PubMed] [Google Scholar]
  29. Pokras R., Kozak L. J., McCarthy E., Graves E. J. Trends in hospital utilization, 1965-86. Am J Public Health. 1990 Apr;80(4):488–490. doi: 10.2105/ajph.80.4.488. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. ROEMER M. I. Bed supply and hospital utilization: a natural experiment. Hospitals. 1961 Nov 1;35:36–42. [PubMed] [Google Scholar]
  31. Rich E. C., Gifford G., Luxenberg M., Dowd B. The relationship of house staff experience to the cost and quality of inpatient care. JAMA. 1990 Feb 16;263(7):953–957. [PubMed] [Google Scholar]
  32. Robbins J. A., Donaldson L. J. Analysing stages of care in hospital stay for fractured neck of femur. Lancet. 1984 Nov 3;2(8410):1028–1029. doi: 10.1016/s0140-6736(84)91119-x. [DOI] [PubMed] [Google Scholar]
  33. Rosevear G. C., Gary N. E. Changes in admissions, lengths of stay, and discharge diagnoses at a major university-affiliated teaching hospital: implications for medical education. Acad Med. 1989 May;64(5):253–258. doi: 10.1097/00001888-198905000-00011. [DOI] [PubMed] [Google Scholar]
  34. Russell I. T., Devlin H. B., Fell M., Glass N. J., Newell D. J. Day-case surgery for hernias and haemorrhoids. A clinical, social, and economic evaluation. Lancet. 1977 Apr 16;1(8016):844–847. doi: 10.1016/s0140-6736(77)92790-8. [DOI] [PubMed] [Google Scholar]
  35. STALLWORTHY J. A. Hotels or hospitals? Lancet. 1960 Jan 9;1(7115):103–106. doi: 10.1016/s0140-6736(60)92918-4. [DOI] [PubMed] [Google Scholar]
  36. Showstack J. A., Stone M. H., Schroeder S. A. The role of changing clinical practices in the rising costs of hospital care. N Engl J Med. 1985 Nov 7;313(19):1201–1207. doi: 10.1056/NEJM198511073131905. [DOI] [PubMed] [Google Scholar]
  37. Simpson J. E., Cox A. G., Meade T. W., Brennan P. J., Lee J. A. "Right" stay in hospital after sugery: randomised controlled trial. Br Med J. 1977 Jun 11;1(6075):1514–1516. doi: 10.1136/bmj.1.6075.1514. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Sloan F. A., Valvona J. Why has hospital length of stay declined? An evaluation of alternative theories. Soc Sci Med. 1986;22(1):63–73. doi: 10.1016/0277-9536(86)90309-6. [DOI] [PubMed] [Google Scholar]
  39. Stern R. S., Juhn P. I., Gertler P. J., Epstein A. M. A comparison of length of stay and costs for health maintenance organization and fee-for-service patients. Arch Intern Med. 1989 May;149(5):1185–1188. [PubMed] [Google Scholar]
  40. Thomas H., Hare M. J. Day case laparoscopic sterilization--time for a rethink? Br J Obstet Gynaecol. 1987 May;94(5):445–448. doi: 10.1111/j.1471-0528.1987.tb03123.x. [DOI] [PubMed] [Google Scholar]
  41. Tielsch J. M., Parver L. M. Determinants of hospital charges and length of stay for ocular trauma. Ophthalmology. 1990 Feb;97(2):231–237. doi: 10.1016/s0161-6420(90)32600-3. [DOI] [PubMed] [Google Scholar]
  42. Wade D. T., Langton Hewer R. Hospital admission for acute stroke: who, for how long, and to what effect? J Epidemiol Community Health. 1985 Dec;39(4):347–352. doi: 10.1136/jech.39.4.347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. West R. R., Roberts C. J. Some observations on the management of appendicitis in Wales. Int J Epidemiol. 1974 Dec;3(4):351–357. doi: 10.1093/ije/3.4.351. [DOI] [PubMed] [Google Scholar]
  44. van Doorslaer E. K., van Vliet R. C. "A built bed is a filled bed?" An empirical re-examination. Soc Sci Med. 1989;28(2):155–164. doi: 10.1016/0277-9536(89)90143-3. [DOI] [PubMed] [Google Scholar]

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