作者
Cassie Aldridge, Julian Bion, Amunpreet Boyal, Yen-Fu Chen, Mike Clancy, Tim Evans, Alan Girling, Joanne Lord, Russell Mannion, Peter Rees, Chris Roseveare, Gavin Rudge, Jianxia Sun, Carolyn Tarrant, Mark Temple, Sam Watson, Richard Lilford
发表日期
2016/7/9
期刊
The Lancet
卷号
388
期号
10040
页码范围
178-186
出版商
Elsevier
简介
Background
Increased mortality rates associated with weekend hospital admission (the so-called weekend effect) have been attributed to suboptimum staffing levels of specialist consultants. However, evidence for a causal association is elusive, and the magnitude of the weekend specialist deficit remains unquantified. This uncertainty could hamper efforts by national health systems to introduce 7 day health services. We aimed to examine preliminary associations between specialist intensity and weekend admission mortality across the English National Health Service.
Methods
Eligible hospital trusts were those in England receiving unselected emergency admissions. On Sunday June 15 and Wednesday June 18, 2014, we undertook a point prevalence survey of hospital specialists (consultants) to obtain data relating to the care of patients admitted as emergencies. We defined specialist intensity at each trust as the …
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C Aldridge, J Bion, A Boyal, YF Chen, M Clancy… - The Lancet, 2016