Protocol for the health economic evaluation of increasing the weekend specialist to patient ratio in hospitals in England

BMJ Open
Samuel WatsonHiSLAC collaboration

Abstract

This protocol concerns the evaluation of increased specialist staffing at weekends in hospitals in England. Seven-day health services are a key policy for the UK government and other health systems trying to improve use of infrastructure and resources. A particular motivation for the 7-day policy has been the observed increase in the risk of death associated with weekend admission, which has been attributed to fewer hospital specialists being available at weekends. However, the causes of the weekend effect have not been adequately characterised; many of the excess deaths associated with the 'weekend effect' may not be preventable, and the presumed benefits of improved specialist cover might be offset by the cost of implementation. The Bayesian-founded method we propose will consist of four major steps. First, the development of a qualitative causal model. Specialist presence can affect multiple, interacting causal processes. One or more models will be developed from the results of an expert elicitation workshop and probabilities elicited for each model and relevant model parameters. Second, systematic review of the literature. The model from the first step will provide search limits for a review to identify relevant studies. Th...Continue Reading

References

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Sep 16, 2017·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Lynn A PaulsChristopher L Wu
Jun 27, 2018·Journal of Health Services Research & Policy·Mohammed MohammedJohn Wright

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Citations

Oct 9, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Jose Antonio Robles-ZuritaHolger Thiele

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