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[预算编制开始前后医院的入院情况和床位占用率;一场数十亿美元的“舞蹈”]

[Admissions and bed occupancy at the hospital before and after the beginning of budgeting; a dance of billions].

作者信息

Hoogendoorn D

出版信息

Ned Tijdschr Geneeskd. 1989 Jan 28;133(4):156-61.

PMID:2922077
Abstract

Hospital budgeting was enacted in 1983 and led to a spectacular decrease of hospital admissions. Admissions of elderly patients were an exception, however; progress in medicine results in ever-increasing possibilities of adequate treatment for this group. The shortening of the average hospital stay, evident since a number of years, continued unchanged after 1982. Taking into account the greying of the patients, the number of hospital days per 100 of the population has decreased by 20% between 1982 and 1987. This descending curve grows increasingly steep. The evolution outlined has probably resulted in a 10-figure reduction.

摘要

医院预算编制于1983年开始实施,导致医院入院人数大幅下降。然而,老年患者的入院情况却是个例外;医学的进步使得对这一群体进行充分治疗的可能性不断增加。多年来一直明显的平均住院时间缩短情况,在1982年之后仍保持不变。考虑到患者的老龄化,1982年至1987年间,每100名人口的住院天数减少了20%。这条下降曲线变得越来越陡峭。上述演变可能导致了一个十位数的减少。

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