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Table 4 Main results of the regression model

From: Operations management solutions to improve ED patient flows: evidence from the Italian NHS

  

Sample #1

NO OU model

Sample #2

ADM model

Sample #3

No OU—No ADM model

   

Owen

Shapley

 

Owen

Shapley

 

Owen

Shapley

Context

pc1 (bed endowment)

-0,019

5,71

8,66

-0.084*

2,09

8,13

-0,03

3,91

7,21

  

(0.0166)

  

(-0.033)

  

(0.0168)

  
 

pc2 (intensity of care)

0.076***

1,58

 

0.514***

2,81

 

0.064***

1,78

 
  

(0.0132)

  

(0.0513)

  

(0.0105)

  
 

pc3 (% of medical patients)

-0.127**

1,37

 

-0.569***

3,23

 

-0.160***

1,52

 
  

(0.0389)

  

(0.0778)

  

(-0.04)

  

Input

pc1 (admissions)

0.054***

6,73

16,46

0.055***

2,56

3,92

0.061***

13,51

26,21

  

(0.0073)

  

(0.0149)

  

(0.0074)

  
 

pc2 (case mix)

0.016**

6,71

 

0.031**

1,03

 

0.018***

7,85

 
  

(0.0047)

  

(0.0103)

  

(0.0049)

  
 

pc3 (elderly individuals)

0.023***

3,02

 

0.033***

0,33

 

0.026***

4,85

 
  

(0.0037)

  

(0.0082)

  

(0.0038)

  

Process (ED endowment)

pc1 (skill mix)

0.165***

2,96

30,63

0.678***

6,15

13,57

0.186***

5,17

37,74

  

(0.0275)

  

(0.0669)

  

(0.0281)

  
 

pc2 (# of nurses)

-0.032**

21,38

 

0,023

3,15

 

-0.057***

26,98

 
  

(-0.011)

  

(0.0223)

  

(0.0111)

  
 

pc3 (ED endowment)

-0,052

6,29

 

-0,155

4,27

 

-0.204***

5,59

 
  

(0.0452)

  

(0.0792)

  

(0.0462)

  

Process (ED flow separation)

pc1 (minor codes)

0.104***

1,42

2,41

0.489***

3,74

7,1

0.184***

3,24

4,64

  

(0.0145)

  

(0.0372)

  

(0.0153)

  
 

pc2 (fast track/see and treat)

0.160***

0,99

 

0.446***

3,36

 

0.321***

1,4

 
  

(0.0279)

  

(0.0613)

  

(0.0311)

  

Output: Admissions management

pc1 (hospital admissions)

0.079***

15,77

30,31

0.261***

9,88

60,43

0.051***

12,41

15,94

  

(-0.004)

  

(0.0092)

  

(0.0037)

  
 

pc2 (medical patients)

-0.011***

2,47

 

0.169***

4,56

 

0.061***

3,52

 
  

(0.0026)

  

(0.0108)

  

(0.0043)

  
 

pc3 (surgical patients)

0.041***

0,95

 

0.314***

7,2

 

-

-

 
  

(0.0034)

  

(0.0081)

  

-

  
 

pc4 (bed manager)

0.101***

10,34

 

-0.748***

35,62

 

-

-

 
  

(0.0037)

  

(0.0159)

  

-

  
 

pc5 (out/in)

-0.029***

0,79

 

-0.070***

3,17

 

-

-

 
  

(0.0031)

  

(0.0107)

  

-

  

Output: Emergency path

pc1 (emergency wards)

-0.107***

2,37

11,53

-0.457***

3,93

6,84

-0.084***

1,53

8,27

  

(-0.016)

  

(-0.034)

  

(0.0165)

  
 

pc2 (OR dedicated to the ED)

0.133***

9,16

 

0,026

2,91

 

0.135***

6,74

 
 

R2

4%

  

15%

  

3%

  
 

N

560.178

  

88.361

  

488,908

  
    

100.00

  

100.00

  

100.00

  1. Notes: Standard errors are clustered at the hospital/day level. Significance levels:
  2. ***p < 0.01
  3. **p < 0.05, and
  4. *p < 0.1
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BMC Health Services Research

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