Amlie E, Stene-Larsen G
Kirurgisk avdeling, Lovisenberg sykehus, Oslo.
Tidsskr Nor Laegeforen. 1990 Aug 20;110(19):2557-9.
In 1988 the local authorities increased the catchment area and reduced the budget for Lovisenberg hospital in Oslo. The hospital has met this challenge by improving its productivity. Despite a 20% cut in the acute bed capacity, the number of discharged patients was increased by 19 and 16%, and the length of stay for hospital care was shortened by 33 and 26%, at the medical and surgical departments respectively. The shorter period of hospitalization did not affect mortality or frequency of readmissions. We conclude that the present budget cuts have led to valuable changes at our hospital. The number of acute beds is now well balanced with the size of the catchment area (2.5 beds per 1000 inhabitants). However, further reduction is not advisable.
1988年，当地政府扩大了奥斯陆洛维森堡医院的服务区域，同时削减了其预算。该医院通过提高生产率来应对这一挑战。尽管急性病床数量削减了20%，但内科和外科出院患者人数分别增加了19%和16%，住院护理时长分别缩短了33%和26%。住院时间缩短并未影响死亡率或再入院频率。我们得出结论，目前的预算削减已使我院发生了有益的变化。现在急性病床数量与服务区域规模实现了良好平衡（每千名居民2.5张病床）。然而，进一步削减并不可取。
