Document Type
Capstone Experience
Graduation Date
5-2021
Degree Name
Master of Public Health
Department
Health Promotion
First Committee Member
Dr. Brandon Grimm, PhD, MPH
Second Committee Member
Ann Mangiameli, J.D.
Third Committee Member
Dr. Hongmei Wang, PhD
Abstract
Unbefriended patients often experience an extended length of stay in the hospital while their medical providers await legal appointment of a public guardian to make their medical decisions. The medically unnecessary days the unbefriended patient spends in the hospital equates to high costs for the hospital, but more importantly, negative health outcomes for the patient. The purpose of this study is to provide literature and data to support recommendations for possible changes in Nebraska’s public guardianship appointment process. A literature review seeks to answer: (1) What is the median hospital length of stay for an unbefriended patient without a guardian compared to the unbefriended patient with a guardian? (2) What are the health outcomes for unbefriended patients without a guardian compared to those with a guardian? (3) What are the cost savings for a hospital when an unbefriended patient receives a public guardian? The literature review findings will also inform an outline for a future cost savings study of the unbefriended patient population in a Nebraska hospital.
Recommended Citation
Berzonsky, Emily N., "Nebraska public guardianship of unbefriended patients: a preliminary review of health outcomes and cost savings" (2021). Capstone Experience. 151.
https://digitalcommons.unmc.edu/coph_slce/151
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