A study of admissions and inpatients over the Christmas period using the appropriateness evaluation protocol (AEP)

Henshaw, David J.E; Pollock, Lucy; Gurcharan, S; Gluck, T

doi:10.1016/s0167-4943(00)00069-8

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…This results in reduced bed occupancy. Cyclic¯uctuations in occupancy have been frequently observed and reported (Appleby, 2001;Belstead, 2000;Fullerton and Crawford, 1999;Davison and Bowhay, 1999;Hanratty and Robertson, 1999;Henshaw et al, 2000;Salvage, 2001;Vasilakis and El-Darzi, 2001;Warden, 1999), particularly during winter and summer holidays and at weekends.…”

Section: Introductionmentioning

confidence: 93%

Cyclic fluctuations in hospital bed occupancy in Roma (Italy): supply or demand driven?

Fusco

Saitto²,

Arcà³

et al. 2003

Health Serv Manage Res

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The objective of this study was to assess hospital bed occupancy both by planned and unplanned cases, and to assess how supply and demand affect bed occupancy. Data was obtained from the Lazio Hospital Information System (HIS) dataset on all hospital discharges from July 1998 to June 2001. Using Diagnosis Related Groups (DRG) as the reason for hospital stay, admissions were classified into four categories: 'planned stay', 'presumed planned stay', 'presumed unplanned stay', and 'unplanned stay'. Time series analysis of daily bed occupancy by category of stay was performed. Generalized Additive Models (GAMs) were used to asses the effect of weekdays and holidays on bed occupancy. Fluctuations in daily occupancy were observed in all categories of stay-in general, bed occupancy decreased over weekends, on national holidays, and during the major holiday season of August. In comparison with unplanned stays, the largest fluctuations were observed for planned stays while presumed planned and unplanned stays showed lesser fluctuations. It is possible to distinguish planned and unplanned hospital stays by using DRG grouping. Cyclic rigidities in the supply of services rather than the availability of beds or demand for beds seem to dictate hospital use in Roma so that restrictions in services hamper any reallocation of beds for 'planned stay' when demand for 'unplanned stay' beds declines.

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Section: Introductionmentioning

confidence: 93%

Cyclic fluctuations in hospital bed occupancy in Roma (Italy): supply or demand driven?

Fusco

Saitto²,

Arcà³

et al. 2003

Health Serv Manage Res

View full text Add to dashboard Cite

show abstract

“…17 Medically inappropriate use of hospital beds can be presented in another form by delaying the discharge instead of increasing admissions. 18 Interestingly, inappropriate medical admission rate was not increased although the acute hospital admission rate was increased, 19 but the medically inappropriate admission was very common among elderly patients with a hospital stay longer than 30 days. 20 In this cost-containing era, the reduction of acute hospital beds and shortening of hospital stay may reduce the possibility of social admissions.…”

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confidence: 98%