The impact of research on hospital costs of care: an empirical study (original) (raw)
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The impact of health research on length of stay in Spanish public hospitals
Research Policy, 2017
Research is a key determinant of health improvement. However, there is little empirical evidence show-ing how the research conducted in hospitals affects healthcare outcomes. To address this issue, we usedpanel data of 189 Spanish public hospitals over the period 1996–2009 to estimate the causal effect ofboth clinical and basic research on hospitals’ efficiency, measuring their impact on the average lengthof stay (LOS). We considered two fixed effects econometric models; one for medical and the other forsurgical specialties respectively. Our results show that increases in the quantity of research produced inmedical (surgical) disciplines contribute significantly to the reduction of hospital LOS in medical (surgi-cal) specialties. This effect is greater for hospitals with higher absorptive capacity (high R&D investmentand with teaching status). There is also clear evidence that basic research produces efficiency gains inclinical outcomes. Furthermore, we have identified other important determinants of hospitals’ efficiencynamely, hospitals’ characteristics, human resources, diagnostic activity, hospital investment and hos-pitals’ absorptive capacity. Finally, we evaluated the economic impact of increases in medical, surgicaland basic research on hospitals’ cost efficiency gains by measuring the corresponding reduction in theaverage cost of stay in Spanish hospitals
Measuring the impact of healthcare indicators on academic medical centers’ scientific production
Proceedings e report
The Italian public-owned Academic Medical Centers (AMCs) are hospitals where the activities of scientific research, teaching, and patients care are fully integrated. AMCs have an enormous impact on society and country health. Recently, policymakers and practitioners give more and more great importance to the AMCs’ scientific activity for both welfare and national competitivity. The scientific production and its impact on the research community could be obviously affected by different factors related to the structural and operational characteristics of each AMC. Healthcare institutions could be different for the typology of services that they offer, their geolocation, the presence/absence of Emergency Departments, the number of employees, and so forth. In this sense, our study aims to investigate and determine which are the possible factors impacting the research productivity of AMCs. We develop a model to assess the academic value of AMCs by taking into account these factors and how...
Research: An Economic Imperative
The Occupational Therapy Journal of Research, 1983
If there is a common obsession among health care administrators these days, it must certainly relate to the economic challenges confronting America's health care system. The necessity of finding effective strategies for cost containment has never been more urgent, particularly among hospitals, which have borne heavy criticism for their role in driving up health care costs during the past several years. Indeed, the federal government has estimated that Medicare costs will double by 1987 if present trends continue. Since the average hospital derives almost 45% of its revenue from Medicare, any effort to restrict or reduce current levels of reimbursement will require hospitals to reduce operating expenditures through improved resource allocation (Iglehart, 1982). These changes, of course, are already upon us. The Tax Equity and Fiscal Responsibility Act of 1982 virtually assured the beginning of a new era in health care economics. That legislation mandated a prospective payment system for fixed rate reimbursement of inpatient Medicare claims and invoked other cost limitations for hospitals. This month, the Department of Health and Human Services will implement its cost index formulas for determining hospital reimbursement, based on DiagnosisRelated Groups (DRGs). This set rate reimbursement policy, in contrast to the actual cost reimbursement system that existed heretofore, is likely to have a profound and lasting effect on the entire health care system.
A method for measuring individual research productivity in hospitals: development and feasibility
BMC health services research, 2015
Research capacity is a prerequisite for any health care institution intending to provide high-quality care, yet, few clinicians engage in research, and their work is rarely recognized. To make research an institutional activity, it could be helpful to measure health care professionals' research performance. However, a comprehensive approach to do this is lacking. We conducted a literature analysis to determine how best to assess research performance. Our method was not restricted to bibliometric and citation parameters, as is usually the case, but also including "hidden" activities, generally not considered in research performance evaluations. A set of 12 easily retrievable indicators was used and corresponding points assigned according to a weighting system intended to reflect the effort estimated to perform each activity. We observed a highly skewed score distribution, with a minority of health care professionals performing well across the indicators. The highest sco...
Nurse Education Today, 2016
Background: Nursing research is not well-developed in Italy, and knowledge of the methodologies for conducting research is lacking. In several hospitals, including those in which this study was conducted, a research center has been established to support and educate nurses on how to conduct clinical research. Aims and Objectives: In this observational study, we sought to assess whether establishing a support center for nursing research has resulted in an increase in scientific production in terms of the numbers of protocols approved (primary outcome), articles published and nurse authors involved in the publications (secondary outcomes). Design: Multiple interrupted time series. Methods: Data from 2002 to 2012 were collected in seven hospitals. Research centers have been established at various times in only four of these hospitals. Results: A statistically significant increase in the primary outcome (the number of protocols approved by the Research Ethics Committee in which the principal investigator was a nurse) was observed in two hospitals approximately 2 years after establishing a research center. The number of nursing research articles published in scientific journals with an impact factor increased but was not statistically significant. Finally, the number of nurse authors increased significantly in two hospitals with support units. Definitive conclusions could not be reached for the other two experimental hospitals because notably few post-intervention data were available. In the control hospitals, the scientific production outcomes did not change. Conclusions: This study shows that establishing a support center for nursing research inside hospitals can facilitate the production of research.
Hospital Management and the Creation of Value Through Clinical Research
2014
La investigación en el ámbito sanitario debería influir en la buena práctica clínica, sin embargo, medir el impacto de la generación de conocimiento en la satisfacción y calidad de vida de la sociedad ha demostrado ser un proceso complejo de abordar. En este trabajo se pretende analizar el efecto de la actividad investigadora, en un hospital público español, sobre la satisfacción de sus pacientes. Abriendo también la puerta a estudios posteriores que vinculen la generación de conocimiento a los indicadores de rendimiento propios de este tipo de organizaciones. PALABRAS CLAVE: Gestión Hospitalaria. Indicadores de opinión. Rendimiento. Generación de conocimiento. SUMMARY: Healthcare research should have a bearing on good clinical practice, but to measure the impact of knowledge generation on the quality of life of society has been shown to be a complex process to approach. This article attempts to analyse the effect that research activity has on patient satisfaction in a Spanish public hospital. It also opens the door for further studies that associate knowledge generation with the specific performance indicators of this type of organisation.
A substantial number of scientific publications originate from non-university hospitals
Danish medical bulletin, 2011
As we found no recent published reports on the amount and kind of research published from Danish hospitals without university affiliation, we have found it relevant to conduct a bibliometric survey disclosing these research activities. We retrieved all scientific papers published in the period 2000-2009 emanating from all seven Danish non-university hospitals in two regions, comprising 1.8 million inhabitants, and which were registered in a minimum of one of the three databases: PubMed MEDLINE, Thomson Reuters Web of Science and Elsevier's Scopus. In 878 of 1,252 papers, the first and/or last author was affiliated to a non-university hospital. Original papers made up 69% of these publications versus 86% of publications with university affiliation on first or last place. Case reports and reviews most frequently had authors from regional hospitals as first and/or last authors. The total number of publications from regional hospitals increased by 48% over the 10-year period. Public...
Scientific research can be an instrument for innovation. This article explores the role of researchers as innovation drivers in the public healthcare sector. Triple Helix model is proposed for the analysis of the role of public hospitals in knowledge generation and innovation processes. We discuss the role of public hospitals in innovation and in economic and social development, and identify this role as a ‘fourth mission’ of hospitals in addition to their widely recognized threefold function of healthcare provision, education and research. We discuss the evolution of hospital administration from healthcare towards the ‘entrepreneurial hospital’ model. More specifically, we investigate the extent to which the incorporation of full-time researchers can help to foster innovation at research and healthcare centres affiliated with the Spanish National Health System. Data were obtained through a survey of researchers, research group leaders and heads of departments and centres where these researchers worked, as well as through content analysis of researchers’ annual reports. Their incorporation mainly favoured the extension of foreign innovation through the incorporation of new techniques and technologies in research groups.
Bibliometric Analysis of Hospital Bed Management Study
Jurnal Aisyah : Jurnal Ilmu Kesehatan
Healthcare and hospital services continue to evolve. This has led to hospital managers being faced with high demand for health services, shortages of hospital beds resulting in delayed inpatient admissions in emergency rooms, improper use of beds, and failure of transfer flows among care units that could reduce the quality of health care. This study aims to provide information on hospital bed management in the bibliometric data. Bibliometric analysis is used to look at research trends, including the most-published journals, the most-cited publishers, author agencies, and collaborations among authors, in visualization using the VOSViewer application. A total of nine Englishlanguage articles obtained from the Scopus database from 2018 to 2022 were used in the bibliometric analysis of hospital bed management. The most cited publisher's journal is the Journal of General Internal Medicine, with 12 citations. The results show that studies related to hospital bed management have not been done much but show an increasing trend from year to year. The author's contributions are dominated by developed countries such as the United States and Canada. Studies on hospital bed management are still needed as decision support tools to help professionals develop more assertive hospital bed management planning.