A study of total parenteral nutrition service in public hospitals of Hong Kong

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A study of total parenteral nutrition service in public hospitals of Hong Kong

 

Author: Chen, Siu-ching Stephen
Title: A study of total parenteral nutrition service in public hospitals of Hong Kong
Degree: M.Sc.
Year: 2000
Subject: Parenteral feeding
Public hospitals -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Management
Pages: vi, 90 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1568990
URI: http://theses.lib.polyu.edu.hk/handle/200/1078
Abstract: Total parenteral nutrition is an expensive treatment for critically ill patient who requires nutrition support. There are only eleven major hospitals in Hospital Authority that provides TPN service. However most of the hospitals cannot provide full coverage of TPN service to its patients. Although a service gap exists in the area, there is no empirical research conducted to address the issue of TPN service in the public hospitals of Hong Kong. The study would like to find out what factors affect the demand and supply of the service and determine the impact of the factors on the service. In addition, a projection model would be developed for estimation of the requirement of TPN service in new hospitals. This study should add value to the existing information and provide useful insights for the HA planners and managers for commissioning of the TPN service in public hospitals. The study found that there is a correlation between the predictors of hospital funding, case mix, grouping of hospitals, average length of stay and occupancy rate to the demand of TPN service. A regression model is computed and it has a high predictive power for projection of the service level in new hospitals. The accuracy is believed to be more than ninety percent. The findings indicate that the current practice of TPN service in public hospitals is not optimum as the efficiency and utilization rate is about seventy percent. TPN service reforms include standardize staff mix of TPN team, flexible quota system, services clustering and centralized service provision. The reform would improve the service provision and reduce the service gap which is beneficial to Hospital Authority, individual hospital and patients who need the service.

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