Variables affecting hospital length of stay: a scoping review

Journal of Health Organization and Management
Sandra C ButtigiegAdriana Pace

Abstract

Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustainability. Furthermore, LOS is one of the key performance indicators, which is widely used to assess hospital efficiency. Hence, it is crucial that policy makers use evidence-based practices in health care to aim for optimal LOS. The purpose of this paper is to identify and summarize empirical research that brings together studies on the various variables that directly or indirectly impact on LOS within tertiary hospitals so as to develop a LOS causal systems model. Design/methodology/approach This scoping review was guided by the following research question: "What is affecting the LOS of patients within tertiary-level health care?" and by the guidelines specified by Arksey and O'Malley (2005), and by Armstrong et al. (2011). Relevant current literature was retrieved by searching various electronic databases. The PRISMA model provided the process guidelines to identify and select eligible studies. Findings An extensiv...Continue Reading

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Citations

Aug 21, 2018·Australian Health Review : a Publication of the Australian Hospital Association·Christopher ElliotKaren Zwi
Oct 19, 2019·Journal of Health Organization and Management·Lorraine AbelaSandra C Buttigieg
Mar 1, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Neeru Gupta, Zihao Sheng

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

PRISMA

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