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Name of Article:
An Epidemiological Study on Increased Length of Stay 
Title of Book/Journal:
Dimensions in Health Service 
English Translation:
Publication Date:
McIntyre, L.
Issue: 1
Pages: 28 - 31  
Corporate Author:
EPA Number:
Other Number:
This article discusses the epidemiologic triad of causation, which states that all illness results from a disequilibrium between host, agent and environmental factors. The "illness" investigated in this report--increased length of star (LOS)--resulted from a combination of: patient factors such as the increased prevalence of chronic diseases in childhood, a revolution in neonatal survival and an increase in survivorship in general for severe diseases, such as congenital anomalies and genetic diseases; agent factors, such as the transition from agents of infectious disease to agents of chronic disease as well as iatrogenesis; and health care environmental factors, including equity issues involving the ethics of treatment, changes in medical technology and patterns of medical practice. The use of preadmission testing, increased participation by parents in the care of their children, an investigation of the appropriate venue for care of chronically ill children and the back transfer of recovering children to their home hospitals were recommended and considered by the hospital's administration and board of governors.

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Last updated on Monday, December 2nd, 2002