scholarly journals Australian hospital services: An overview

2002 ◽  
Vol 25 (1) ◽  
pp. 2 ◽  
Author(s):  
S.J. Duckett
Keyword(s):  
Length Of Stay ◽  
Private Health Insurance ◽  
Average Length ◽  
Admission Rate ◽  
Public Hospitals ◽  
State Governments ◽  
Hospital Services ◽  
Private Hospitals ◽  
Average Length Of Stay ◽  
Australian Hospital

Hospital services in Australia are provided by public hospitals (about 75% of hospitals, two-thirds of separations) and private hospitals (the balance). Australians use about one bed day per person per year, with an admission rate of about300 admissions per thousand population per annum. Provision rates for public hospitals have declined significantly (by 40%) over the last 20 years but separation rates have increased. Average length of stay for overnight patients has been stable but, because the proportion of same day patients has increased dramatically, overall length of stay has declined from around seven days in the mid 1980s to around four days in the late 1990s. Overall, the Commonwealth and state governments each meet about half the costs of public hospital care, private health insurance meets about two-thirds of the costs of private hospitals.

scholarly journals Length of stay comparisons for private and public hospitals

2000 ◽  
Vol 23 (3) ◽  
pp. 162 ◽  
Author(s):  
Jennifer Badham ◽  
Jason Brandrup
Keyword(s):  
Length Of Stay ◽  
Public Hospital ◽  
Average Length ◽  
Public Hospitals ◽  
Private Hospitals ◽  
The Public ◽  
Average Length Of Stay ◽  
Private And Public

This analysis uses average length of stay as a proxy for efficiency, to compare the Australian private and public hospitalsectors. We conclude that private hospitals are more efficient than public hospitals in providing the range of care providedby private hospitals. However, public hospitals are more efficient in handling the casemix of the public hospital sector.The picture is more complicated when particular types of care (such as obstetric and psychiatric) are excluded.

scholarly journals Advanced units: quality measures in urgency and emergency care

2014 ◽  
Vol 12 (4) ◽  
pp. 492-498 ◽  
Author(s):  
Dan Carai Maia Viola ◽  
Eduardo Cordioli ◽  
Carlos Henrique Sartorato Pedrotti ◽  
Mauro Iervolino ◽  
Antonio da Silva Bastos Neto ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Emergency Care ◽  
Average Length ◽  
Admission Rate ◽  
Severity Index ◽  
Emergency Severity Index ◽  
Medical Visits ◽  
Average Length Of Stay ◽  
Vital Functions ◽  
Return Visits

Objective: To evaluate, through care indicators, the quality of services rendered to patients considered urgency and emergency cases at an advanced emergency care unit.Methods: We analyzed data from managerial reports of 64,891 medical visits performed in the Emergency Care Unit of the Ibirapuera Unit at Care during the period from June 1st, 2012 through May 31st, 2013. The proposed indicators for the assessment of care were rate of death in the emergency care unit; average length of stay of patients in the unit; rate of unplanned return visits; admission rate for patients screened as level 1 according to the Emergency Severity Index; rate of non-finalized medical consultations; rate of complaints; and door-to-electrocardiogram time.Results: The rate of death in the emergency care unit was zero. Five of the 22 patients classified as Emergency Severity Index 1 (22.7%) arrived presenting cardiac arrest. All were treated with cardiopulmonary resuscitation and reestablishment of vital functions. The average length of stay of patients in the unit was 3 hours, 33 minutes, and 7 seconds. The rate of unscheduled return visits at the emergency care unit of the Ibirapuera unit was 13.64%. Rate of complaints was 2.8/1,000 patients seen during the periodConclusion.: The model of urgency and emergency care in advanced units provides an efficient and efficaious service to patients. Both critically ill patients and those considered less complex can receive proper treatment for their needs.

The Health Sector Evolution Plan and the Technical Efficiency of Public Hospitals in IranBackground: Iranian public hospitals have been excessively changing during the healthcare reform since 2014. This study aimed to examine the technical efficiency of p

2020 ◽  
Author(s):  
Edris KAKEMAM ◽  
Hossein DARGAHI
Keyword(s):  
Length Of Stay ◽  
Technical Efficiency ◽  
Healthcare Reform ◽  
Average Length ◽  
Health Sector ◽  
Public Hospitals ◽  
Occupancy Rate ◽  
Bed Occupancy ◽  
Tobit Regression ◽  
Average Length Of Stay

Background: Iranian public hospitals have been excessively changing during the healthcare reform since 2014. This study aimed to examine the technical efficiency of public hospitals during before and after the implementation of Health Sector Evolution Plan (HSEP) and to determine whether, and how, efficiency is affected by various factors. Methods: Forty-two public hospitals were selected in Tehran, Iran, from 2012 to 2016. Data envelopment analysis was employed to estimate the technical and scale efficiency sample hospitals. Tobit regression was used to relate the technical efficiency scores to seven explanatory variables in 2016, the last year. Results: Overall, 24 (57.1%), 26 (61.9%), 26 (61.9%), 24 (57.1%) and 21 (50%) of the 42 sample hospitals ran inefficiently in 2012 to 2016, with average technical efficiency of 0.859, 0.836, 0.845, 0.905 and 0.934, respectively. The average pure technical efficiency in sample hospitals increased from 0.860 in 2010 (before the HSEP) to 0.944 in 2012 (after the HSEP). Tobit regression showed that average length of stay had a negative impact on technical efficiency of hospitals. In addition, bed occupancy rate, ratio of beds to nurses and ratio of nurses to physicians assumed a positive sign with technical efficiency. Conclusion: Despite government support, public hospitals operated relatively inefficien. Managers can enhance technical efficiency by increasing bed occupancy rate through shortening the average length of stay, proportioning the number of doctors, nurses, and beds along with service quality assurance.

The Problem of Capacity Management in Greek Public Hospitals

2017 ◽  
Vol 1 (2) ◽  
pp. 414
Author(s):  
Christos Tsitsakis ◽  
Persefoni Polychronidou ◽  
Anastasios Karasavvoglou
Keyword(s):  
Length Of Stay ◽  
Average Length ◽  
National Health System ◽  
Healthcare Services ◽  
Capacity Management ◽  
Point Of View ◽  
Public Hospitals ◽  
Theory Of Constraints ◽  
Healthcare Organizations ◽  
Average Length Of Stay

<p class="AbstractText">One of the most important problems that the users of Greek National Health System face, is the long waiting lists. Αrather superficial explanationof this phenomenon is usually refer the increasing demand for healthcare services, ignoring that the problem is mainly a problem of capacity management, which is associated with the occupancy rate of specific wards of a hospital, and the average length of stay.</p><p class="AbstractText">The theory of constraints can apply successfully to healthcare organizations, to solve problems of capacity management, reducing the inpatient length of stay and increasing the satisfaction from the offering services as has been proved by international research.</p><p class="AbstractText">In this paper, we study the problem from this point of view. Our qualitative research revealed that there is a bottle-neck in the normal flow of patients, because of the delays in the imaging departments of the hospitals.</p>The increase of the capacity of the imaging departments would offer a feasible solution to the problem.

scholarly journals Trends in hospital service provision

2002 ◽  
Vol 25 (5) ◽  
pp. 2 ◽  
Author(s):  
Jenny Hargraves ◽  
Narelle Grayson ◽  
Ian Titulaer
Keyword(s):  
Service Provision ◽  
Health Expenditure ◽  
Average Length ◽  
Public Hospitals ◽  
Hospital Service ◽  
Private Hospitals ◽  
For Profit ◽  
Average Length Of Stay ◽  
Acute Hospitals ◽  
Using Data

In this paper,trends in hospital service provision are measured using data on the numbers and nature of hospitals,on hospital expenditure and on hospital activity over recent years.The number of public acute care hospitals was fairly stable,however,bed numbers decreased.Hospital numbers rose for private hospitals,as did numbers of beds,particularly for group for-profit private hospitals.Recurrent health expenditure on hospitals as a proportion of all recurrent health expenditure fell,although it rose for private hospitals, and real increases in expenditure occurred for both public acute and private hospitals.Population rates for separations and patient days rose for private hospitals and were stable and fell, respectively,for public acute hospitals. Average length of stay decreased for both public acute and private hospitals, with increasing numbers of separations occurring on a same day basis.Increasing proportions of procedures were undertaken during same day stays,and in private hospitals.Separation rates varied geographically, with highest rates overall,and for public hospitals and overnight separations,for patients resident in remote centres and other remote areas.Highest rates for private hospitals were for patients resident in capital cities,other metropolitan centres and large rural centres.

scholarly journals HOSPITALIZATIONS FOR CHOLECYSTITIS AND CHOLELITHIASIS IN THE STATE OF RIO GRANDE DO SUL, BRAZIL

2016 ◽  
Vol 29 (2) ◽  
pp. 77-80 ◽  
Author(s):  
Emeline Caldana NUNES ◽  
Roger dos Santos ROSA ◽  
Ronaldo BORDIN
Keyword(s):  
Length Of Stay ◽  
Health System ◽  
National Health ◽  
Average Length ◽  
National Health System ◽  
Rio Grande ◽  
The State ◽  
Hospital Services ◽  
Rio Grande Do Sul ◽  
Average Length Of Stay

ABSTRACT Background: The cholelithiasis is disease of surgical resolution with about 60,000 hospitalizations per year in the Sistema Único de Saúde (SUS - Brazilian National Health System) of the Rio Grande do Sul state. Aim: To describe the profile of hospitalizations for cholecystitis and cholelithiasis performed by the SUS of Rio Grande do Sul state, 2011-2013. Methods: Hospital Information System data from the National Health System through morbidity list for cholelithiasis and cholecystitis (ICD-10 K80-K81). Variables studied were sex, age, number of hospitalizations and approved Hospitalization Authorizations (AIH), total amount and value of hospital services generated, days and average length of stay, mortality, mortality and case fatality ratio, from health regions of the Rio Grande do Sul. Results: During 2011-2013 there were 60,517 hospitalizations for cholecystitis and cholelithiasis, representing 18.86 hospitalizations per 10,000 inhabitants/year, most often in the age group from 60 to 69 years (41.34 admissions per 10,000 inhabitants/year) and female (27.72 hospitalizations per 10,000 inhabitants/year). The fatality rate presented an inverse characteristic: 13.52 deaths per 1,000 admissions/year for males, compared with 7.12 deaths per 1,000 admissions/year in females. The state had an average total amount spent and value of hospital services of R$ 16,244,050.60 and R$ 10,890,461.31, respectively. The health region "Capital/Gravataí Valley" exhibit the highest total expenditure and hospital services, and the largest number of deaths, and average length of stay. Conclusion: The hospitalization and lethality coefficients, the deaths, the length of stay and spending related to admissions increased from 50 years old. Females had a higher frequency and higher values spent on hospitalization, while the male higher coefficient of mortality and mean hospital stay.

Private psychiatric hospital care in Australia: a descriptive analysis of casemix and outcomes

2021 ◽  
pp. 103985622110512
Author(s):  
Jeffrey CL Looi ◽  
Tarun Bastiampillai ◽  
William Pring ◽  
Stephen R Kisely ◽  
Stephen Allison
Keyword(s):  
Length Of Stay ◽  
Effect Size ◽  
Average Length ◽  
Descriptive Analysis ◽  
Psychiatric Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Average Length Of Stay ◽  
Improvement Effect ◽  
Substance Abuse Disorders

Objective: To provide a rapid clinical update on casemix, average length of stay, and the effectiveness of Australian private psychiatric hospitals. Methods: We conducted a descriptive analysis of the publicly available patient data from the Australian Private Hospitals Association Private Psychiatric Hospitals Data Reporting and Analysis Service website, from 2015–2016 to 2019–2020. This was compared with corresponding reporting on public and private hospitals from the Australian Institute of Health and Welfare, and Australian Mental Health Outcomes and Classification Network. Results: In 2019–2020, there were 72 private psychiatric hospitals in Australia with 3582 acute beds. There were 42,942 inpatients with 1,286,470 days of care, and a mean length of stay 19.6 days (SD 13.9) for the financial year 2019–2020. The main diagnoses were major affective and other mood disorders (49%), and alcohol and other substance abuse disorders (21%). Clinician-rated outcome measures, that is, the HoNOS, showed an improvement effect size of 1.64, while the patient-rated MHQ-14 showed an improvement effect size of 1.18. Results are similar for previous years. Conclusions: Private psychiatric hospitals provide substantial, effective psychiatric care.

scholarly journals Path Analysis of Hospitalization Expenses of 2,164 Appendicitis Patients at County-Level Public Hospitals in Anhui Province, China

2020 ◽  
Author(s):  
Junjun Xue ◽  
Heng Wang ◽  
Niannian Li ◽  
Yuhuan Ling ◽  
Chen Qian ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Path Analysis ◽  
Average Length ◽  
Anhui Province ◽  
Public Hospitals ◽  
County Level ◽  
Operative Duration ◽  
Average Length Of Stay ◽  
Factors Influencing ◽  
Controllable Factors

Abstract Background and objective Appendicitis resection is one of the most common surgical procedures. Hospitalization expenses are a major determinant of appendicitis treatment. This study explored the factors influencing hospitalization expenses of appendicitis patients in Anhui province and provided a scientific basis for reasonably controlling medical expenses. Methods A multi-stage random cluster sampling method was used to collect case information on 2,164 patients who underwent appendicitis surgery at 6 county-level public hospitals in Anhui province, China. Path analysis was used to study the factors influencing hospitalization expenses of appendicitis patients. Results The average length of stay was 5.62 ± 2.64 days, with a median of 5 days; the average hospitalization expenses were 6,109.60 ± 2,109.44 CNY, with a median of 5,511.93 CNY. The direct effect of length of stay was 0.535. Surgical grades, surgical methods, and chronic appendicitis directly affected hospitalization expenses, with direct effects of 0.149, 0.081, and -0.037; surgical costs, anesthesia costs, disease outcomes, age, acute simple appendicitis, and operative duration not only directly affected hospitalization expenses, but also indirectly affected hospitalization expenses, the total effects were 0.283, 0.045, 0.200, 0.202, -0.162, and 0.062, respectively. The total number of surgeons and assistants only indirectly affected hospitalization expenses, with indirect effect of 0.020. Conclusions The length of stay is the most important factor affecting hospitalization expenses. Based on controlling the average length of stay, combined with shortening operative duration, conducting health education, strengthening controllable factors, and other comprehensive measures can effectively reduce the economic burden of patients and hospitals.

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