Consultant Input in Acute Medical Admissions and Patient Outcomes in Hospitals in England: A Multivariate Analysis

Derek Bell, Adrian Lambourne, Frances Percival, Anthony A Laverty and David K Ward

PLOS ONE, 2013, vol. 8, issue 4, 1-5

Abstract: Recent recommendations for physicians in the UK outline key aspects of care that should improve patient outcomes and experience in acute hospital care. Included in these recommendations are Consultant patterns of work to improve timeliness of clinical review and improve continuity of care. This study used a contemporaneous validated survey compared with clinical outcomes derived from Hospital Episode Statistics, between April 2009 and March 2010 from 91 acute hospital sites in England to evaluate systems of consultant cover for acute medical admissions. Clinical outcomes studied included adjusted case fatality rates (aCFR), including the ratio of weekend to weekday mortality, length of stay and readmission rates. Hospitals that had an admitting Consultant presence within the Acute Medicine Unit (AMU, or equivalent) for a minimum of 4 hours per day (65% of study group) had a lower aCFR compared with hospitals that had Consultant presence for less than 4 hours per day (p 40 acute medical admissions per day had a lower aCFR compared to hospitals with fewer than 40 admissions per day (p

Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0061476

DOI: 10.1371/journal.pone.0061476

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