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Accountability of Nursing Interventions vs. Severity of Illness Scores for the Hospital Care Cost Of Total Hip Replacement

The main purpose of this study was to investigate the extent to which nursing care compared to severity of illness (SOI) accounted for direct hospital costs. The type, frequency, and duration of nursing interventions required for patients undergoing total hip replacement surgery by the SOI stages wi...

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Published in:	Nursing economic 2016-07, Vol.34 (4), p.190-198
Main Authors:	Lee, Mikyoung, Clancy, Thomas R
Format:	Article
Language:	English
Subjects:	Adult Aged Aged, 80 and over Analysis Arthroplasty, Replacement, Hip - economics Arthroplasty, Replacement, Hip - nursing Comorbidity Economic aspects Female Health care policy Health economics Hip joint Hip replacement arthroplasty Hospital costs Hospital Costs - statistics & numerical data Hospitalization Humans Illnesses Intervention Joint replacement surgery Male Medicare Middle Aged Models, Economic Models, Nursing Nurses Nursing Nursing care Older people Orthopedics Patients Regression analysis Reimbursement Retrospective Studies Severity of Illness Index Workloads
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creator	Lee, Mikyoung Clancy, Thomas R
description	The main purpose of this study was to investigate the extent to which nursing care compared to severity of illness (SOI) accounted for direct hospital costs. The type, frequency, and duration of nursing interventions required for patients undergoing total hip replacement surgery by the SOI stages with independent t-tests were identified. Although patients in Stage 3 generally needed a greater amount of each intervention than patients in Stage 2, the differences in needs for nursing interventions were not consistent using SOI. With hierarchical multiple regression analyses, results indicated nursing interventions explained significantly more variability in hospital care costs than SOI scores. Relying only on SOI scores for reimbursement may not accurately reflect the resource consumption of health care.
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subjects	Adult Aged Aged, 80 and over Analysis Arthroplasty, Replacement, Hip - economics Arthroplasty, Replacement, Hip - nursing Comorbidity Economic aspects Female Health care policy Health economics Hip joint Hip replacement arthroplasty Hospital costs Hospital Costs - statistics & numerical data Hospitalization Humans Illnesses Intervention Joint replacement surgery Male Medicare Middle Aged Models, Economic Models, Nursing Nurses Nursing Nursing care Older people Orthopedics Patients Regression analysis Reimbursement Retrospective Studies Severity of Illness Index Workloads
title	Accountability of Nursing Interventions vs. Severity of Illness Scores for the Hospital Care Cost Of Total Hip Replacement
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