Experience with a step-down respiratory care center at a tertiary referral medical center in Taiwan

Su, Jian; Lin, Chien-Chou; Chen, Pei-Jan; Lin, Fung-J; Chen, Shiow-Kwan; Kuo, Hsu-Tah

doi:10.1016/j.jcrc.2005.10.004

Cited by 31 publications

(22 citation statements)

References 33 publications

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“…However, our study presented no significant mortality difference between different nurse staffing models; the reason for this could be associated with the participants we recruited for this study. Most patients who are referred to an RCC are elderly (65 years old or older) and have multiple chronic diseases, chronic kidney disease, coronary artery disease, and other complications (Su et al 2006; Yang et al 2008). Therefore, the study findings show no significant difference in mortality between different nurse staffing models.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Different Nursing Skill Mix Models on Patient Outcomes in a Respiratory Care Center

Yang

Hung²,

Chen³

et al. 2012

Worldviews Ev Based Nurs

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BackgroundMany hospitals have reformed hospital policies and changed nursing models to cope with shortages in nursing staff and control medical costs. However, the nursing skill mix model that most successfully achieves both cost effectiveness and quality care has yet to be determined.AimThe aim of this study was to explore the impact of different nurse staffing models on patient outcomes in a respiratory care center (RCC).MethodsRetrospective data from 2006 to 2008 were obtained from records monitoring nursing care quality, as well as patient records and nursing personnel costs in an RCC as a medical center, in southern Taiwan. A total of 487 patients were categorized into two groups according to the RCC's mix of nursing staff. The “RN/Aide” group comprised 247 patients who received RN and aide care, with a 0.7–0.8 proportion of RNs, from July 2006 to June 2007. The other 240 patients (“All-RN”) received 100% RN care from January 2008 to December 2008.ResultsThe results of this study indicated no significant differences in occurrence of pressure ulcer or respiratory tract infections, days of hospitalization, mortality, or nursing costs. However, significant differences were observed in ventilator weaning and occurrence of urinary tract and bloodstream infections.ConclusionsA higher proportion of RNs was associated not only with a lower rate of urinary tract infection but also with more patients being weaned successfully from ventilators. The findings of this study have implications for how managers and administrators manage nurse staffing in respiratory care.

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Section: Discussionmentioning

confidence: 99%

The Impact of Different Nursing Skill Mix Models on Patient Outcomes in a Respiratory Care Center

Yang

Hung²,

Chen³

et al. 2012

Worldviews Ev Based Nurs

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“…[2][3][4][5][6] The policy for PMV patients implemented by the Taiwan Bureau of National Health Insurance (BNHI) in 2000 required the transfer of such patients to a respiratory care center after an ICU stay of 21 days, and to a respiratory care ward after a respiratory care center stay of 42 days. 7 Although many studies have evaluated PMV outcomes, few longitudinal studies have exceeded 2 years, [1][2][3][4][5] and most published data are limited to United States or European populations. [1][2][3][4][5][6] Therefore, the findings of previous studies of PMV outcomes may not be generalizable to patient populations in Asian countries.…”

Section: Introductionmentioning

confidence: 99%

Trend Analysis of Hospital Resource Utilization for Prolonged Mechanical Ventilation Patients in Taiwan: A Population-Based Study

et al. 2013

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BACKGROUND:The aging Taiwan population is expected to require vast medical resources, including prolonged mechanical ventilation (PMV). This study determined the trends in hospital resource utilization and associated factors in PMV patients in Taiwan . During the study period, stay significantly decreased, from 35.12 days to 31.61 days, whereas hospital treatment costs significantly increased, from $7,933.17 to $8,257.52 (P < .001). Considerably decreased stay and increased hospital treatment costs were significantly associated with age, number of comorbidities, hospital level, hospital volume, and patient referral source (P < .001). CONCLUSIONS: These population-based data demonstrated a decrease in the prevalence of PMV, especially for older patients, and that stay decreased; however, hospital treatment costs increased. Moreover, healthcare providers and patients should recognize that attributes of both the patient and the hospital may affect hospital resource utilization. Additionally, these analytical results should be applicable to similar populations in other countries.

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“…Most patients survive such an acute episode, but approximately 5e20% become dependent on prolonged mechanical ventilation (PMV). In Taiwan, a health insurance integrated delivery system (IDS) has been developed to accommodate PMV patients, as previously described 3 . All patients admitted to the ICU should be reported to the National Health Insurance Bureau (NHIB) within 5 days of the initiation of mechanical ventilation (MV).…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Outcome for Very Elderly Patients (≥ 80 years) Admitted to a Respiratory Care Center in Taiwan

Lin

Chen

et al. 2012

International Journal of Gerontology

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Experience with a step-down respiratory care center at a tertiary referral medical center in Taiwan

Cited by 31 publications

References 33 publications

The Impact of Different Nursing Skill Mix Models on Patient Outcomes in a Respiratory Care Center

The Impact of Different Nursing Skill Mix Models on Patient Outcomes in a Respiratory Care Center

Trend Analysis of Hospital Resource Utilization for Prolonged Mechanical Ventilation Patients in Taiwan: A Population-Based Study

Characteristics and Outcome for Very Elderly Patients (≥ 80 years) Admitted to a Respiratory Care Center in Taiwan

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