Do expanded seven-day NHS services improve clinical outcomes? Analysis of comparative institutional performance from the "NHS Services, Seven Days a Week" project 2013-2016. Gan, H., Wong, D. J. N., Dean, B. J. F., & Hall, A. S. BMC health services research, 17(1):552, August, 2017.
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BACKGROUND: The cause of adverse weekend clinical outcomes remains unknown. In 2013, the "NHS Services, Seven Days a Week" project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS. METHODS: Aggregated trust-level data on crude mortality rates, Summary Hospital-Level Mortality Indicator (SHMI), mean length of stay (LOS), A&E admission and four-hour breach rates were obtained from national Hospital Episode Statistics and A&E datasets across the English NHS, excluding mental and community health trusts. Trust annual reports were analysed to determine the presence of any seven-day service reorganisation in 2013-2014. Funnel plots were generated to compare institutional performance and a difference in differences analysis was performed to determine the impact of seven-day changes on clinical outcomes between 2013 and 2014,
@article{gan_expanded_2017,
	title = {Do expanded seven-day {NHS} services improve clinical outcomes? {Analysis} of comparative institutional performance from the "{NHS} {Services}, {Seven} {Days} a {Week}"  project 2013-2016.},
	volume = {17},
	issn = {1472-6963 1472-6963},
	doi = {10.1186/s12913-017-2505-8},
	abstract = {BACKGROUND: The cause of adverse weekend clinical outcomes remains unknown. In 2013, the "NHS Services, Seven Days a Week" project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS. METHODS: Aggregated trust-level data on crude mortality rates, Summary Hospital-Level Mortality Indicator (SHMI), mean length of stay (LOS), A\&E admission and four-hour breach rates were obtained from national Hospital Episode Statistics and A\&E datasets across the English NHS, excluding mental and community health trusts. Trust annual reports were analysed to determine the presence of any seven-day service reorganisation in 2013-2014. Funnel plots were generated to compare institutional performance and a difference in differences analysis was performed to determine the impact of seven-day changes on clinical outcomes between 2013 and 2014,},
	language = {eng},
	number = {1},
	journal = {BMC health services research},
	author = {Gan, Hoong-Wei and Wong, Danny Jon Nian and Dean, Benjamin John Floyd and Hall, Alistair Scott},
	month = aug,
	year = {2017},
	pmid = {28797268},
	pmcid = {PMC5553994},
	keywords = {*Emergency care, *Health Services Accessibility, *Health Services Administration, *Health services research, *Hospital Mortality, *Hospital mortality, *Length of stay, *Quality of Health Care, *State Medicine/statistics \& numerical data, *Weekend, Emergency Service, Hospital/statistics \& numerical data, Health Services/standards, Hospitalization/*statistics \& numerical data, Humans, Length of Stay/statistics \& numerical data},
	pages = {552},
}

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