Exact(2)
The unmeasured confounding in the previous study likely included the specific differences we identified in facility geography, length of facility ownership, vascular access at first dialysis session, and pre-dialysis nephrology care [ 15].
Our current analysis of hospitalization and mortality rates of hemodialysis patients included adjustments for those used by the USRDS plus other potential confounders: facility geography (end-stage renal disease network), length of facility ownership, vascular access at first dialysis session, and pre-dialysis nephrology care.
Similar(58)
There were statistical differences between the cohorts in geography, facility length of ownership, vascular access, and pre-dialysis nephrology care (p < 0.001), as well as age (p < 0.01), race (p < 0.001), and vintage (p < 0.001), but not sex (p = 0.12).
He adds: "Our goal would be to be in fairly substantial number of facilities in one geography, at least where we can start proving what the gross facility benefits are — for example picking out flu trends before they happen, picking out new diseases as they're coming to the area — so we can start helping different systems which have silos of data derive benefit from each other as well".
Within study sites, four typical communities were selected to reflect study site diversity in characteristics that could influence newborn care practices such as access to health facilities, ethnicity and geography.
Criteria for selecting matches also included geography, with facilities in northern areas matched with northern areas, facilities in central areas matched with central areas, and facilities in southern areas matched with southern areas.
In the October issue of Harvard Business Review, Michael Porter and Tom Lee cite six components of high-value care-delivery systems: integrated practice units; cost and outcomes measurement; bundled payments; integrated care delivery across facilities; expanded services across geography; and an information technology platform to enable those processes.
Incorporating this information into a procedure's writers guide in this manner may not only facilitate procedure being regulatory compliant for facilities in different geographies of the world, but could also support their being written with considerations for human performance.
Our new hospital facility had optimized hand-washing geography and distribution of ward beds into mostly single or double rooms (bed:sink ratio 1.3 1).
Unfortunately, it is difficult to estimate hospital catchment populations, as individuals may not access the nearest facility, and local access issues (geography, socio-economics, treatment-seeking behaviour) make it difficult to develop a standardised definition.
Facility numbers are influenced by geography and topology so that a sparsely populated mountainous district will require, ceteris paribus, a larger number of facilities to serve population need.
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Justyna Jupowicz-Kozak
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