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Consultant Input in Acute Medical Admissions and Patient Outcomes in Hospitals in England: A Multivariate Analysis

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  • Derek Bell
  • Adrian Lambourne
  • Frances Percival
  • Anthony A Laverty
  • David K Ward

Abstract

Recent recommendations for physicians in the UK outline key aspects of care that should improve patient outcomes and experience in acute hospital care. Included in these recommendations are Consultant patterns of work to improve timeliness of clinical review and improve continuity of care. This study used a contemporaneous validated survey compared with clinical outcomes derived from Hospital Episode Statistics, between April 2009 and March 2010 from 91 acute hospital sites in England to evaluate systems of consultant cover for acute medical admissions. Clinical outcomes studied included adjusted case fatality rates (aCFR), including the ratio of weekend to weekday mortality, length of stay and readmission rates. Hospitals that had an admitting Consultant presence within the Acute Medicine Unit (AMU, or equivalent) for a minimum of 4 hours per day (65% of study group) had a lower aCFR compared with hospitals that had Consultant presence for less than 4 hours per day (p 40 acute medical admissions per day had a lower aCFR compared to hospitals with fewer than 40 admissions per day (p

Suggested Citation

  • Derek Bell & Adrian Lambourne & Frances Percival & Anthony A Laverty & David K Ward, 2013. "Consultant Input in Acute Medical Admissions and Patient Outcomes in Hospitals in England: A Multivariate Analysis," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-5, April.
    • Handle: RePEc:plo:pone00:0061476
    DOI: 10.1371/journal.pone.0061476
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    Cited by:

    1. Antonio Gallo & Anna Anselmi & Francesca Locatelli & Eleonora Pedrazzoli & Roberto Petrilli & Alessandro Marcon, 2022. "Weekend Mortality in an Italian Hospital: Immediate versus Delayed Bedside Critical Care Treatment," IJERPH, MDPI, vol. 19(2), pages 1-11, January.
    2. Seán Cournane & Richard Conway & Donnacha Creagh & Declan Byrne & Bernard Silke, 2015. "Consultant duration of clinical practice as a cost determinant of an emergency medical admission," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(5), pages 561-567, June.

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