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dc.contributor.authorRobinson, Alysia
dc.date.accessioned2020-08-07T17:51:51Z
dc.date.available2020-08-07T17:51:51Z
dc.identifier.urihttp://hdl.handle.net/10222/79620
dc.description.abstractObjective: Adjusted hospital length of stay (LOS), widely used to benchmark hospital efficiency, does not account for community-driven variation. We estimate the extent to which community affects LOS for unplanned hospitalizations, whether this differs by complex needs, and identify communities significantly different from the provincial average. Methods: The outcome is LOS, adjusted for demographics and disease case-mix. Variation in LOS explained by community of residence is estimated using random intercept regression. Complex needs are defined using Elixhauser and Resource Intensity Weights. Small-area empirical Bayes estimates are calculated and mapped. Results: Community of residence is associated with adjusted LOS, and its effect differ by complex needs. Of 77 communities, 17 had an adjusted LOS differing from the provincial average. Conclusion: The community to which patients are discharged is associated with hospital LOS. Research is needed to understand why these communities are associated with longer or shorter adjusted LOS.en_US
dc.language.isoenen_US
dc.subjectHospital Length of Stayen_US
dc.subjectSmall Area Rate Variationen_US
dc.subjectEpidemiologyen_US
dc.subjectHealth Services Researchen_US
dc.subjectNova Scotiaen_US
dc.subjectCommunities as Systems of Careen_US
dc.titleThe effect of community of discharge on length of stay for unplanned hospitalizations: An indicator of community care integration?en_US
dc.typeThesisen_US
dc.date.defence2019-04-16
dc.contributor.departmentDepartment of Community Health & Epidemiologyen_US
dc.contributor.degreeMaster of Scienceen_US
dc.contributor.external-examinern/aen_US
dc.contributor.graduate-coordinatorDr. Yukiko Asadaen_US
dc.contributor.thesis-readerDr. Grace Warneren_US
dc.contributor.thesis-readerDr. Pantelis Andreouen_US
dc.contributor.thesis-readerDr. David Stocken_US
dc.contributor.thesis-supervisorDr. George Kepharten_US
dc.contributor.thesis-supervisorDr. Leslie Anne Campbellen_US
dc.contributor.ethics-approvalReceiveden_US
dc.contributor.manuscriptsNoen_US
dc.contributor.copyright-releaseNoen_US
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