Identification of the influencing factors of admission priority decision in department of respiration in West China Hospital based on logistic regression_Chinese Journal of Evidence-Based Medicine

Authors：

LI Jialing ¹ ,  SHEN Wenwu ² , LUO Li ¹

1. Business School of Sichuan University, Chengdu, 610064, P.R.China;
2. Outpatient Department, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

SHEN Wenwu, Email: wenwu_shen@163.com

Keywords：

Logistic regression; Admission schedule; Priority decision; Influence factor

DOI：

10.7507/1672-2531.201709113

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objectives Based on the historical data of inpatients, a logistic regression model was established. It aimed to identify the influencing factors of patient's admission scheduling decisions and compare them with the actual scheduling rules, so as to discover the differences and deficiencies.Methods We extracted data of outpatients and inpatients in Department of Respiration in West China Hospital of Sichuan University from January 1^st, 2016 to December 31^st, 2016, and standardized the original dataset. We established the binary multivariate logistic regression model through R software and ‘glm’ package.Results The analysis of multi-factor logistic regression showed that the effect of the five variables (type of medical insurance, time of registration, waiting time, type of disease and admission priority) on patient schedule was statistically significant.Conclusions The logistic regression model constructed in this study has a good effect on patient planning, which is helpful to provide decision support for admission schedule through identification factors.

Citation： LI Jialing, SHEN Wenwu, LUO Li. Identification of the influencing factors of admission priority decision in department of respiration in West China Hospital based on logistic regression. Chinese Journal of Evidence-Based Medicine, 2019, 19(1): 7-11. doi: 10.7507/1672-2531.201709113 Copy

1.	何曉俐, 趙淑珍, 李繼平. 大型綜合醫院床位集中管理的效果研究. 中國循證醫學雜志, 2013, 13(11): 1303-1306.
2.	吳棠, 張媛媛, 張瓊. 大型綜合醫院入院中心患者咨詢現狀分析. 華西醫學, 2017, 32(4): 596-598.
3.	Solans-Domènech M, Adam P, Tebé C, et al. Developing a universal tool for the prioritization of patients waiting for elective surgery. Health Policy, 2013, 113(1-2): 118-126.
4.	Min D, Yih Y. An elective surgery scheduling problem considering patient priority. Com Ope Res, 2010, 37(6): 1091-1099.
5.	Ceschia S, Schaerf A. Modeling and solving the dynamic patient admission scheduling problem under uncertainty. Artif Intell Med, 2012, 56(3): 199-205.
6.	Cucchetti A, Ross LF, Thistlethwaite JR Jr, et al. Age and equity in liver transplantation: An organ allocation model. Liver Transpl, 2015, 21(10): 1241-1249.
7.	Falconer N, Nand S, Liow D, et al. Development of an electronic patient prioritization tool for clinical pharmacist interventions. Am J Health Syst Pharm, 2014, 71(4): 311-320.
8.	Vigil JM, Coulombe P, Alcock J, et al. Patient ethnicity affects triage assessments and patient prioritization in US department of veterans affairs emergency departments. Medicine, 2016, 95(14): e3191.
9.	Comas M, Castells X, Hoffmeister L, et al. Discrete-event simulation applied to analysis of waiting lists. Evaluation of a prioritization system for cataract surgery. Value Health, 2008, 11(7): 1203-1213.
10.	Robert I, Kabacoff R. 語言實戰. 北京: 人民郵電出版社, 2013: 287-288.
11.	吳良明. 惡性腫瘤病人再入院分類與統計. 中國醫院統計, 2002, 9(4): 247-248.
12.	馮曦兮, 廖江, 何燕, 等. 1990-2010年成都市前三位惡性腫瘤流行病學特征分析. 中國循證醫學雜志, 2012, 12(10): 1171-1174.
13.	楊金娟, 沈遲, 鄧蓬華, 等. 西部地區某三甲醫院2008~2012年老年住院患者疾病及費用構成調查. 中國循證醫學雜志, 2015, 15(4): 381-388.
14.	申文武. 從外循環到內循環破解出入院服務困局. 現代醫院管理, 2017, 15(1): 1-4.
15.	Hulshof PJH, Kortbeek N, Boucherie RJ, et al. Taxonomic classification of planning decisions in health care: a structured review of the state of the art in OR/MS. Health system, 2012, 1(2): 129-175.
16.	申文武, 朱婷, 張欣莉, 等. 大型綜合醫院患者預約候床忠誠度調查. 中國循證醫學雜志, 2015, 15(3): 253-258.
17.	Oudhoff JP, Timmermans DR, Knol DL, et al. Prioritising patients on surgical waiting lists: a conjoint analysis study on the priority judgements of patients, surgeons, occupational physicians, and general practitioners. Soc Sci Med, 2007, 64(9): 1863-1875.

1. 何曉俐, 趙淑珍, 李繼平. 大型綜合醫院床位集中管理的效果研究. 中國循證醫學雜志, 2013, 13(11): 1303-1306.
2. 吳棠, 張媛媛, 張瓊. 大型綜合醫院入院中心患者咨詢現狀分析. 華西醫學, 2017, 32(4): 596-598.
3. Solans-Domènech M, Adam P, Tebé C, et al. Developing a universal tool for the prioritization of patients waiting for elective surgery. Health Policy, 2013, 113(1-2): 118-126.
4. Min D, Yih Y. An elective surgery scheduling problem considering patient priority. Com Ope Res, 2010, 37(6): 1091-1099.
5. Ceschia S, Schaerf A. Modeling and solving the dynamic patient admission scheduling problem under uncertainty. Artif Intell Med, 2012, 56(3): 199-205.
6. Cucchetti A, Ross LF, Thistlethwaite JR Jr, et al. Age and equity in liver transplantation: An organ allocation model. Liver Transpl, 2015, 21(10): 1241-1249.
7. Falconer N, Nand S, Liow D, et al. Development of an electronic patient prioritization tool for clinical pharmacist interventions. Am J Health Syst Pharm, 2014, 71(4): 311-320.
8. Vigil JM, Coulombe P, Alcock J, et al. Patient ethnicity affects triage assessments and patient prioritization in US department of veterans affairs emergency departments. Medicine, 2016, 95(14): e3191.
9. Comas M, Castells X, Hoffmeister L, et al. Discrete-event simulation applied to analysis of waiting lists. Evaluation of a prioritization system for cataract surgery. Value Health, 2008, 11(7): 1203-1213.
10. Robert I, Kabacoff R. 語言實戰. 北京: 人民郵電出版社, 2013: 287-288.
11. 吳良明. 惡性腫瘤病人再入院分類與統計. 中國醫院統計, 2002, 9(4): 247-248.
12. 馮曦兮, 廖江, 何燕, 等. 1990-2010年成都市前三位惡性腫瘤流行病學特征分析. 中國循證醫學雜志, 2012, 12(10): 1171-1174.
13. 楊金娟, 沈遲, 鄧蓬華, 等. 西部地區某三甲醫院2008~2012年老年住院患者疾病及費用構成調查. 中國循證醫學雜志, 2015, 15(4): 381-388.
14. 申文武. 從外循環到內循環破解出入院服務困局. 現代醫院管理, 2017, 15(1): 1-4.
15. Hulshof PJH, Kortbeek N, Boucherie RJ, et al. Taxonomic classification of planning decisions in health care: a structured review of the state of the art in OR/MS. Health system, 2012, 1(2): 129-175.
16. 申文武, 朱婷, 張欣莉, 等. 大型綜合醫院患者預約候床忠誠度調查. 中國循證醫學雜志, 2015, 15(3): 253-258.
17. Oudhoff JP, Timmermans DR, Knol DL, et al. Prioritising patients on surgical waiting lists: a conjoint analysis study on the priority judgements of patients, surgeons, occupational physicians, and general practitioners. Soc Sci Med, 2007, 64(9): 1863-1875.

Chinese Journal of Evidence-Based Medicine

Identification of the influencing factors of admission priority decision in department of respiration in West China Hospital based on logistic regression

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content