A hospital researcher has found that the mean length of time that

In summary, the hospital researcher has found that the mean length of time that patients stay in the hospital is 4.9 days with a standard deviation of 3.5 days. Due to the non-negativity constraint, the length of stay would not be normally distributed and would be positively skewed. The Poisson and exponential distributions are commonly used for cueing problems, but do not seem to apply in this particular case. Additionally, it is not safe to assume normality as the probability of the length of stay being less than the mean minus 1.4 times the standard deviation is not negligible.
  • #1
roam
1,271
12
A hospital researcher has found that the mean length of time that patients stay in the hospital is 4.9 days with a standard deviation of 3.5 days.

a) Using just the information on the mean and standard deviation, justify why the length of stay would NOT be normally distributed. Would the length of stay be positively skewed or negatively skewed?

So, what is the mode or median for this? Because I need to use the Pearson's formulas and we need to know either the mode/median.

Skewness = (mean - mode / standard deviation)
Skewness = 3(mean - median / standard deviation)

Skewness = [tex]\frac{\bar{x} - mode}{s}[/tex] or
[tex]\frac{3(\bar{x} - median)}{s}[/tex]
 
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  • #2


Since the length of a hospital stay has to be non-negative, it can't be normally distributed. The upper end is stretched out, could be more than 9.8 days. As a result the mean would be greater than the median.
 
  • #3


Therefore the length of stay would be positively skewed?
 
  • #4


roam said:
Therefore the length of stay would be positively skewed?
Yes! Why did you ask??
 
  • #5


Think about the basic properties of any normal distribution: symmetry about [tex] \mu [/tex], and the fact that the two sides extend approximately three standard deviations away from the mean. In this case, for this mean and standard deviation, the left end of the curve would extend to the left of zero, indicating a negative length of hospital stay which, as has been pointed out, can't happen.

From an intuitive point of view, while most people are not hospitalized any great length of time, a few stay for quite a while - times are right-skewed.
 
  • #6


FWIW the poisson and exponential distributions are most commonly used for cueing problems

The other option would be lognormal where the log of the length of hospital stay would be normally distributed, this would produce a skewed distribution as the log cannot be negative
 
  • #7


"FWIW the poisson and exponential distributions are most commonly used for cueing problems"

True, the Poisson distribution is often used to model the pattern of arrivals, and the exponential to model the inter-arrival times, but this does not seem to be one of those problems - the OP is not discussing the pattern of arrivals, or waiting times (unless there is more to post).
 
  • #8


statdad said:
In this case, for this mean and standard deviation, the left end of the curve would extend to the left of zero, indicating a negative length of hospital stay which, as has been pointed out, can't happen.

Back in *my* day, we had to walk three miles to school in the freezing rain and stay in hospitals for a negative amount of time.
 
  • #9


"Back in *my* day, we had to walk three miles to school in the freezing rain and stay in hospitals for a negative amount of time."

Be thankful you were able to stay. Where I grew up we had to walk through freezing rain and hail, UPHILL, to the hospital, start the furnace by rubbing icicles together, then walk home, UPHILL, through a snowstorm, to get home. If we didn't arrive before we left we were punished.
 
  • #10


You had a home? Boy, you were really lucky!
 
  • #11


"You had a home? Boy, you were really lucky!"

Well, it was really our neighbor's home, a box, and the walkway to their door was lined with broken glass. That wouldn't have been so bad, but we had to pay them to take our shoes and socks before they would grant us entrance.
 
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  • #12


IMO, you cannot assume normality because mean-k*sigma is negative for k>1.4. For X~N(mu,sigma), P( X<mu-1.4*sigma) is not negligible (0.081 approx). But here this probability is 0.
 
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1. What is the significance of the researcher finding the mean length of time in a hospital?

The mean length of time is a statistical measure that represents the average amount of time a patient spends in the hospital. This finding can provide valuable insights into the efficiency and quality of care provided by the hospital.

2. How was the mean length of time calculated by the hospital researcher?

The researcher most likely collected data on the length of stay for a sample of patients in the hospital and then calculated the average by dividing the total length of time by the number of patients in the sample.

3. Is the mean length of time a reliable measure of a hospital's performance?

The mean length of time can be a useful measure, but it should not be the only factor considered when evaluating a hospital's performance. Other factors such as patient satisfaction, readmission rates, and mortality rates should also be taken into account.

4. How does the mean length of time vary between different hospitals?

The mean length of time can vary significantly between different hospitals, depending on factors such as the type of patients they treat, the severity of their conditions, and the resources and staffing available. It is important to compare hospitals with similar patient populations when looking at their mean length of time.

5. Can the mean length of time be used to predict a patient's length of stay in the hospital?

The mean length of time can provide a general estimate of how long a patient may stay in the hospital, but it cannot accurately predict the length of stay for an individual patient. Many other factors, such as the patient's condition and response to treatment, can impact their length of stay.

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