Staffing levels and patient-related outcomes : Systematic literature review on international evidence

Der Nervenarzt
A BlumeT Steinert

Abstract

The objective of this study was to systematically review the international literature with respect to significant links between staffing levels or qualification on the one hand and patient-related outcomes on the other. Of the initial 7778 abstracts identified by means of a complex search strand in PubMed and CINAHL, 51 could finally be included in a qualitative synthesis. A total of nine different patient-related outcome categories with significant associations on an at least ordinally scaled level were distinguished. None of the studies included had a (quasi-)experimental research design. Despite, in some instances, high numbers of cases at multiple sites and efforts to control obvious confounding variables by regression analysis, no evidence-based conclusions for health policy or clinical practice can be drawn from the available observational studies. There is therefore a considerable need for prospective randomized or at least quasi-experimental studies also as accompanying research on novel models of financing.

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Citations

Dec 18, 2020·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Michael G KölchPeter Brückner-Bozetti

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