-
Tytuł:
-
A general medical short-stay unit is not more efficient than a traditional model of care.
-
Autorzy:
-
Russell PT; Flinders Medical Centre, Adelaide, SA, Australia. .
Hakendorf P; Flinders Medical Centre, Adelaide, SA, Australia.
Thompson CH; University of Adelaide, Adelaide, SA, Australia.
-
Źródło:
-
The Medical journal of Australia [Med J Aust] 2014 May 05; Vol. 200 (8), pp. 482-4.
-
Typ publikacji:
-
Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Publication: : Pyrmont, NSW : Australasian Medical Publishing Co.
Original Publication: Sydney : Australasian Medical Pub. Co.
-
MeSH Terms:
-
Hospital Mortality*
Hospital Units/*statistics & numerical data
Hospitalization/*statistics & numerical data
Length of Stay/*statistics & numerical data
Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Retrospective Studies ; South Australia
-
Entry Date(s):
-
Date Created: 20140506 Date Completed: 20140626 Latest Revision: 20191210
-
Update Code:
-
20240104
-
DOI:
-
10.5694/mja13.10739
-
PMID:
-
24794612
-
Objectives: To assess the efficiency of a short-stay unit (SSU) for undifferentiated medical patients and evaluate its effect on the overall efficiency of a general medicine department.
Design, Setting and Patients: Retrospective study of all general medical patients admitted to the SSU at Flinders Medical Centre, South Australia, during its 5 years of operation (2005-2009), compared with 4 years before its institution and 2 years after its closure.
Main Outcome Measures: Relative stay index (RSI); inhospital mortality; readmissions within 7 and 28 days.
Results: 23 790 general medical patients were admitted overall, and 10 764 of these (45.2%) were admitted to the SSU. The RSI for the SSU during its years of operation was 0.79, compared with 1.34 for the long-stay unit. The overall RSI for the department did not improve during those years and was not significantly different to the periods before or after.
Conclusions: We found no evidence that an SSU for undifferentiated medical patients creates bed capacity. It does, however, appear to be safe.
