Intensivists in U.S. Acute Care Hospitals*
| Autor: | Neil A. Halpern, Meghan DeWitt, Stephen M. Pastores, Kay See Tan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Extramural business.industry Intensivist 030208 emergency & critical care medicine Retrospective cohort study Hospital level Critical Care and Intensive Care Medicine Supply and distribution 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Acute care Emergency medicine Retrospective analysis medicine Aggregate level business |
| Zdroj: | Critical Care Medicine. 47:517-525 |
| ISSN: | 0090-3493 |
| DOI: | 10.1097/ccm.0000000000003615 |
| Popis: | OBJECTIVES To determine the total numbers of privileged and full-time equivalent intensivists in acute care hospitals with intensivists and compare the characteristics of hospitals with and without intensivists. DESIGN Retrospective analysis of the American Hospital Association Annual Survey Database (Fiscal Year 2015). SETTING Two-thousand eight-hundred fourteen acute care hospitals with ICU beds. PATIENTS None. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Of the 2,814 acute care hospitals studied, 1,469 (52%) had intensivists and 1,345 (48%) had no intensivists. There were 28,808 privileged and 19,996 full-time equivalent intensivists in the 1,469 hospitals with intensivists. In these hospitals, the median (25-75th percentile) numbers of privileged and full-time equivalent intensivists were 11 (5-24) and 7 (2-17), respectively. Compared with hospitals without intensivists, hospitals with privileged intensivists were primarily located in metropolitan areas (91% vs 50%; p < 0.001) and at the aggregate level had nearly thrice the number of hospital beds (403,522 [75%] vs 137,146 [25%]), 3.6 times the number of ICU beds (74,222 [78%] vs 20,615 [22%]), and almost twice as many ICUs (3,383 [65%] vs 1,846 [35%]). At the hospital level, hospitals with privileged intensivists had significantly more hospital beds (median, 213 vs 68; p < 0.0001), ICU beds (median, 32 vs 8; p < 0.0001), a higher ratio of ICU to hospital beds (15.6% vs 12.6%; p < 0.0001), and a higher number of ICUs per hospital (2 vs 1; p < 0.0001) than hospitals without intensivists. CONCLUSIONS Analyzing the intensivist section of the American Hospital Association Annual Survey database is a novel approach to estimating the numbers of privileged and full-time equivalent intensivists in acute care hospitals with ICU beds in the United States. This methodology opens the door to an enhanced understanding of the current supply and distribution of intensivists as well as future research into the intensivist workforce. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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