Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Standard

Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer? / Lindqvist, Rikard; Stenbeck, Magnus; Diderichsen, Finn.

I: Health Policy, Bind 72, Nr. 1, 2005, s. 65-71.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Lindqvist, R, Stenbeck, M & Diderichsen, F 2005, 'Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer?', Health Policy, bind 72, nr. 1, s. 65-71. https://doi.org/10.1016/j.healthpol.2004.06.003

APA

Lindqvist, R., Stenbeck, M., & Diderichsen, F. (2005). Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer? Health Policy, 72(1), 65-71. https://doi.org/10.1016/j.healthpol.2004.06.003

Vancouver

Lindqvist R, Stenbeck M, Diderichsen F. Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer? Health Policy. 2005;72(1):65-71. https://doi.org/10.1016/j.healthpol.2004.06.003

Author

Lindqvist, Rikard ; Stenbeck, Magnus ; Diderichsen, Finn. / Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer?. I: Health Policy. 2005 ; Bind 72, Nr. 1. s. 65-71.

Bibtex

@article{1ebde360c20c11dd8ca2000ea68e967b,
title = "Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer?",
abstract = "The objective was to investigate how differences among hospitals in the shift from in-patient care to day surgery and a reduced hospital length of stay affect the sick-leave period for female patients surgically treated for breast cancer. All women aged 18-64 who were diagnosed with breast cancer in 2000 were selected from the National Cancer Register and combined with data from the sick-leave database of the National Social Insurance Board and the National Hospital Discharge Register (N = 1834). A multi-factorial model was fitted to the data to investigate how differences in hospital care practice affected the length of sick-leave. The main output measure was the number of sick-leave days after discharge during the year following surgery. The confounders used included age, type of primary surgical treatment, whether or not lymph node dissection was performed, labour-market status, county, and readmission. Women treated with breast-conserving surgery had a 54.7-day (-71.9 < or = CI(95%) < or = -37.5) shorter sick-leave period than those with more invasive surgery. The day-surgery cases had 24.3 (-47.5 < or = CI(95%) < or = -1.1) days shorter sick-leave than those who received overnight care. The effect of the hospital median length of stay (LOS) was U-shaped, suggesting that hospitals with a median LOS that is either short or long are associated with longer sick-leave. In the intermediate range, women treated in hospitals with a median LOS of 2 days had 22 days longer sick-leave than those treated in hospitals with a mean LOS of 3 days. This is possibly a sign of sub-optimising.",
author = "Rikard Lindqvist and Magnus Stenbeck and Finn Diderichsen",
note = "Keywords: Adolescent; Adult; Age Distribution; Ambulatory Surgical Procedures; Breast Neoplasms; Female; Hospitals, Public; Humans; Length of Stay; Mastectomy; Mastectomy, Segmental; Middle Aged; Organizational Policy; Patient Discharge; Registries; Sick Leave; Sweden",
year = "2005",
doi = "10.1016/j.healthpol.2004.06.003",
language = "English",
volume = "72",
pages = "65--71",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - Does hospital discharge policy influence sick-leave patterns in the case of female breast cancer?

AU - Lindqvist, Rikard

AU - Stenbeck, Magnus

AU - Diderichsen, Finn

N1 - Keywords: Adolescent; Adult; Age Distribution; Ambulatory Surgical Procedures; Breast Neoplasms; Female; Hospitals, Public; Humans; Length of Stay; Mastectomy; Mastectomy, Segmental; Middle Aged; Organizational Policy; Patient Discharge; Registries; Sick Leave; Sweden

PY - 2005

Y1 - 2005

N2 - The objective was to investigate how differences among hospitals in the shift from in-patient care to day surgery and a reduced hospital length of stay affect the sick-leave period for female patients surgically treated for breast cancer. All women aged 18-64 who were diagnosed with breast cancer in 2000 were selected from the National Cancer Register and combined with data from the sick-leave database of the National Social Insurance Board and the National Hospital Discharge Register (N = 1834). A multi-factorial model was fitted to the data to investigate how differences in hospital care practice affected the length of sick-leave. The main output measure was the number of sick-leave days after discharge during the year following surgery. The confounders used included age, type of primary surgical treatment, whether or not lymph node dissection was performed, labour-market status, county, and readmission. Women treated with breast-conserving surgery had a 54.7-day (-71.9 < or = CI(95%) < or = -37.5) shorter sick-leave period than those with more invasive surgery. The day-surgery cases had 24.3 (-47.5 < or = CI(95%) < or = -1.1) days shorter sick-leave than those who received overnight care. The effect of the hospital median length of stay (LOS) was U-shaped, suggesting that hospitals with a median LOS that is either short or long are associated with longer sick-leave. In the intermediate range, women treated in hospitals with a median LOS of 2 days had 22 days longer sick-leave than those treated in hospitals with a mean LOS of 3 days. This is possibly a sign of sub-optimising.

AB - The objective was to investigate how differences among hospitals in the shift from in-patient care to day surgery and a reduced hospital length of stay affect the sick-leave period for female patients surgically treated for breast cancer. All women aged 18-64 who were diagnosed with breast cancer in 2000 were selected from the National Cancer Register and combined with data from the sick-leave database of the National Social Insurance Board and the National Hospital Discharge Register (N = 1834). A multi-factorial model was fitted to the data to investigate how differences in hospital care practice affected the length of sick-leave. The main output measure was the number of sick-leave days after discharge during the year following surgery. The confounders used included age, type of primary surgical treatment, whether or not lymph node dissection was performed, labour-market status, county, and readmission. Women treated with breast-conserving surgery had a 54.7-day (-71.9 < or = CI(95%) < or = -37.5) shorter sick-leave period than those with more invasive surgery. The day-surgery cases had 24.3 (-47.5 < or = CI(95%) < or = -1.1) days shorter sick-leave than those who received overnight care. The effect of the hospital median length of stay (LOS) was U-shaped, suggesting that hospitals with a median LOS that is either short or long are associated with longer sick-leave. In the intermediate range, women treated in hospitals with a median LOS of 2 days had 22 days longer sick-leave than those treated in hospitals with a mean LOS of 3 days. This is possibly a sign of sub-optimising.

U2 - 10.1016/j.healthpol.2004.06.003

DO - 10.1016/j.healthpol.2004.06.003

M3 - Journal article

C2 - 15760699

VL - 72

SP - 65

EP - 71

JO - Health Policy

JF - Health Policy

SN - 0168-8510

IS - 1

ER -

ID: 8855315