Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Hospitals-I

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...

Hospitals-II

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...

Secondary Healthcare System

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

Specialized Care Centers and Settings-II

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

Traditional Level Of Health Care System

Traditional Level Of Health Care System

The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...

Tertiary Healthcare System

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Use of Telehealth for Follow-up Care After Children's Mental Health Hospitalizations.

Hospital pediatrics·2025

Same author

Improvement of serum folate status in the US women of reproductive age with fortified iodised salt with folic acid (FISFA study).

Public health nutrition·2024

Same author

Quantifying the association of individual-level characteristics with disparities in kidney transplant waitlist addition among people with HIV.

AIDS (London, England)·2023

Same author

Racial Disparities in Access to the Kidney Transplant Waitlist Among People with Human Immunodeficiency Virus.

AIDS patient care and STDs·2023

Same author

Access to the Kidney Transplant Waitlist for People With HIV.

Transplantation·2023

Same author

Social determinants of health and emergency department utilization in Alabama Children's Health Insurance Program.

The American journal of managed care·2023

Search research articles

Related Experiment Videos

Do hospitals provide lower quality care on weekends?

David J Becker¹

¹Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, RPHB 330, 1530 3rd Avenue South, Birmingham, AL 35294-0022, USA.

Health Services Research

|July 6, 2007

Summary

Weekend hospitalization for acute myocardial infarction (AMI) delays critical cardiac procedures, increasing mortality and readmission rates for elderly Medicare patients. Targeted financial incentives may improve weekend care quality more effectively than broad regulations.

Related Experiment Videos

Area of Science:

Cardiology
Health Services Research
Public Health Policy

Background:

Hospitalization during weekends for acute myocardial infarction (AMI) may impact patient care and outcomes.
Understanding disparities in cardiac procedure delivery and health outcomes based on admission timing is crucial for quality improvement.

Purpose of the Study:

To assess the influence of weekend hospitalization on the timing and incidence of intensive cardiac procedures for AMI patients.
To evaluate the subsequent effects on expenditures, mortality, and readmission rates in Medicare beneficiaries.

Main Methods:

Analysis of longitudinal administrative claims data for 922,074 elderly, non-rural Medicare beneficiaries hospitalized with AMI (1989-1998).
Ordinary least squares regression used to estimate the impact of weekend admission on cardiac catheterization, angioplasty, bypass surgery rates, 1-year expenditures, and adverse health outcomes.

Main Results:

Weekend AMI admissions were associated with significantly lower rates of immediate intensive cardiac procedures.
Delayed treatment observed, with weekend-weekday procedure differentials narrowing over time.
Weekend admissions correlated with a 0.38% increase in 1-year mortality and a 0.20% increase in 1-year readmission for congestive heart failure.

Conclusions:

Weekend hospitalization for AMI leads to delayed procedures and increased 1-year mortality in elderly patients.
Findings question the effectiveness of uniform regulations (e.g., nurse staffing ratios) for improving weekend care.
Targeted financial incentives are suggested as a potentially more cost-effective policy for enhancing care quality.