Identification of the influencing factors of admission priority decision in department of respiration in West China Hospital based on logistic regression_Chinese Journal of Evidence-Based Medicine

Authors：

LI Jialing ¹ ,  SHEN Wenwu ² , LUO Li ¹

1. Business School of Sichuan University, Chengdu, 610064, P.R.China;
2. Outpatient Department, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

SHEN Wenwu, Email: wenwu_shen@163.com

Keywords：

Logistic regression; Admission schedule; Priority decision; Influence factor

DOI：

10.7507/1672-2531.201709113

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objectives Based on the historical data of inpatients, a logistic regression model was established. It aimed to identify the influencing factors of patient's admission scheduling decisions and compare them with the actual scheduling rules, so as to discover the differences and deficiencies.Methods We extracted data of outpatients and inpatients in Department of Respiration in West China Hospital of Sichuan University from January 1^st, 2016 to December 31^st, 2016, and standardized the original dataset. We established the binary multivariate logistic regression model through R software and ‘glm’ package.Results The analysis of multi-factor logistic regression showed that the effect of the five variables (type of medical insurance, time of registration, waiting time, type of disease and admission priority) on patient schedule was statistically significant.Conclusions The logistic regression model constructed in this study has a good effect on patient planning, which is helpful to provide decision support for admission schedule through identification factors.

Citation： LI Jialing, SHEN Wenwu, LUO Li. Identification of the influencing factors of admission priority decision in department of respiration in West China Hospital based on logistic regression. Chinese Journal of Evidence-Based Medicine, 2019, 19(1): 7-11. doi: 10.7507/1672-2531.201709113 Copy

1.	何晓俐, 赵淑珍, 李继平. 大型综合医院床位集中管理的效果研究. 中国循证医学杂志, 2013, 13(11): 1303-1306.
2.	吴棠, 张媛媛, 张琼. 大型综合医院入院中心患者咨询现状分析. 华西医学, 2017, 32(4): 596-598.
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6.	Cucchetti A, Ross LF, Thistlethwaite JR Jr, et al. Age and equity in liver transplantation: An organ allocation model. Liver Transpl, 2015, 21(10): 1241-1249.
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8.	Vigil JM, Coulombe P, Alcock J, et al. Patient ethnicity affects triage assessments and patient prioritization in US department of veterans affairs emergency departments. Medicine, 2016, 95(14): e3191.
9.	Comas M, Castells X, Hoffmeister L, et al. Discrete-event simulation applied to analysis of waiting lists. Evaluation of a prioritization system for cataract surgery. Value Health, 2008, 11(7): 1203-1213.
10.	Robert I, Kabacoff R. 语言实战. 北京: 人民邮电出版社, 2013: 287-288.
11.	吴良明. 恶性肿瘤病人再入院分类与统计. 中国医院统计, 2002, 9(4): 247-248.
12.	冯曦兮, 廖江, 何燕, 等. 1990-2010年成都市前三位恶性肿瘤流行病学特征分析. 中国循证医学杂志, 2012, 12(10): 1171-1174.
13.	杨金娟, 沈迟, 邓蓬华, 等. 西部地区某三甲医院2008~2012年老年住院患者疾病及费用构成调查. 中国循证医学杂志, 2015, 15(4): 381-388.
14.	申文武. 从外循环到内循环破解出入院服务困局. 现代医院管理, 2017, 15(1): 1-4.
15.	Hulshof PJH, Kortbeek N, Boucherie RJ, et al. Taxonomic classification of planning decisions in health care: a structured review of the state of the art in OR/MS. Health system, 2012, 1(2): 129-175.
16.	申文武, 朱婷, 张欣莉, 等. 大型综合医院患者预约候床忠诚度调查. 中国循证医学杂志, 2015, 15(3): 253-258.
17.	Oudhoff JP, Timmermans DR, Knol DL, et al. Prioritising patients on surgical waiting lists: a conjoint analysis study on the priority judgements of patients, surgeons, occupational physicians, and general practitioners. Soc Sci Med, 2007, 64(9): 1863-1875.

1. 何晓俐, 赵淑珍, 李继平. 大型综合医院床位集中管理的效果研究. 中国循证医学杂志, 2013, 13(11): 1303-1306.
2. 吴棠, 张媛媛, 张琼. 大型综合医院入院中心患者咨询现状分析. 华西医学, 2017, 32(4): 596-598.
3. Solans-Domènech M, Adam P, Tebé C, et al. Developing a universal tool for the prioritization of patients waiting for elective surgery. Health Policy, 2013, 113(1-2): 118-126.
4. Min D, Yih Y. An elective surgery scheduling problem considering patient priority. Com Ope Res, 2010, 37(6): 1091-1099.
5. Ceschia S, Schaerf A. Modeling and solving the dynamic patient admission scheduling problem under uncertainty. Artif Intell Med, 2012, 56(3): 199-205.
6. Cucchetti A, Ross LF, Thistlethwaite JR Jr, et al. Age and equity in liver transplantation: An organ allocation model. Liver Transpl, 2015, 21(10): 1241-1249.
7. Falconer N, Nand S, Liow D, et al. Development of an electronic patient prioritization tool for clinical pharmacist interventions. Am J Health Syst Pharm, 2014, 71(4): 311-320.
8. Vigil JM, Coulombe P, Alcock J, et al. Patient ethnicity affects triage assessments and patient prioritization in US department of veterans affairs emergency departments. Medicine, 2016, 95(14): e3191.
9. Comas M, Castells X, Hoffmeister L, et al. Discrete-event simulation applied to analysis of waiting lists. Evaluation of a prioritization system for cataract surgery. Value Health, 2008, 11(7): 1203-1213.
10. Robert I, Kabacoff R. 语言实战. 北京: 人民邮电出版社, 2013: 287-288.
11. 吴良明. 恶性肿瘤病人再入院分类与统计. 中国医院统计, 2002, 9(4): 247-248.
12. 冯曦兮, 廖江, 何燕, 等. 1990-2010年成都市前三位恶性肿瘤流行病学特征分析. 中国循证医学杂志, 2012, 12(10): 1171-1174.
13. 杨金娟, 沈迟, 邓蓬华, 等. 西部地区某三甲医院2008~2012年老年住院患者疾病及费用构成调查. 中国循证医学杂志, 2015, 15(4): 381-388.
14. 申文武. 从外循环到内循环破解出入院服务困局. 现代医院管理, 2017, 15(1): 1-4.
15. Hulshof PJH, Kortbeek N, Boucherie RJ, et al. Taxonomic classification of planning decisions in health care: a structured review of the state of the art in OR/MS. Health system, 2012, 1(2): 129-175.
16. 申文武, 朱婷, 张欣莉, 等. 大型综合医院患者预约候床忠诚度调查. 中国循证医学杂志, 2015, 15(3): 253-258.
17. Oudhoff JP, Timmermans DR, Knol DL, et al. Prioritising patients on surgical waiting lists: a conjoint analysis study on the priority judgements of patients, surgeons, occupational physicians, and general practitioners. Soc Sci Med, 2007, 64(9): 1863-1875.

Chinese Journal of Evidence-Based Medicine

Identification of the influencing factors of admission priority decision in department of respiration in West China Hospital based on logistic regression

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