Vertical Integration is Changing the Landscape of the Health Care System

Stahl, Pat; Andrews, M.

doi:10.1016/s0002-8223(96)00323-9

Cited by 1 publication

(2 citation statements)

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“…Therefore, developing models of care that enable dietitians to include all components of the nutrition care process 18 would assist this department in demonstrating its effectiveness. This is not new to the profession as the role of the dietitians in ambulatory care has been well recognised 19–22 . Yet, in this department the outpatient services represent less than 10% of the departmental activity.…”

Section: Discussionmentioning

confidence: 99%

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The results of a pilot time‐and‐motion study in three Australian hospitals: Where do we spend our time?

Milosavljevic

Williams

Perez

et al. 2011

Nutrition & Dietetics

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Aim: To quantify the time nine dietitians spend on different tasks in the inpatient setting and to describe the main dietetic goals for the patients managed. Methods: We used a direct non‐participatory observational method and observed hospital dietitians during a typical work shift. The data were then sorted into six categories. Results: A total of 286 hours and 45 minutes was observed across two collection time periods. On average the dietitians spent 18.3% in direct patient contact, 40.4% in indirect patient support activities, 13.5% in administrative tasks, 4.5% in research and education and 3.8% in travel and miscellaneous tasks. Dietetic goals of patients seen during this time, as identified by the dietitians were; to increase energy intake (48%), decrease energy intake (3%), improve dietary knowledge(15%), to improve or manage clinical symptoms (7%) and to meet enteral or parental requirements(11%). Conclusion: Knowing how the dietitians in the present study spend their time affords an opportunity to reflect on how these tasks contribute to the overall goals of the department. Furthermore, it provides baseline data for additional research into the area of dietetic work activities, which could be evaluated across a wider range of services and hospitals.

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Section: Discussionmentioning

confidence: 99%

“…This is not new to the profession as the role of the dietitians in ambulatory care has been well recognised. [19][20][21][22] Yet, in this department the outpatient services represent less than 10% of the departmental activity.…”

Section: Discussionmentioning

confidence: 99%