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Centre for Policy on Ageing | |
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Hospital bed utilisation in the NHS, Kaiser Permanente and the US Medicare programme
— analysis of routine data | | Author(s) | Chris Ham, Nick York, Steve Sutch |
| Journal title | British Medical Journal, vol 327, no 7426, 29 November 2003 |
| Pages | pp 1257-1260 |
| Keywords | Bed availability [hospitals] ; Usage [services] ; National Health Service ; Private health services ; Comparison ; United States of America ; United Kingdom. |
| Annotation | The authors use data to compare hospital bed utilisation for 2000 and 2001 in the NHS in England, with that of Kaiser Permanente in California, and the Medicare programme in California and the United States. The number of bed days in the NHS for the 11 leading causes was three and a half times that of Kaiser's standardised rate, almost twice that of Medicare California's standardised rate, and more than 50% higher than the standardised rate in Medicare in the US. Kaiser achieves these results through a combination of low admission rates and relatively short stays. Lower use of bed days in Medicare in California compared with the US as a whole suggests that there is a "California effect" as well as a "Kaiser effect" in hospital utilisation. The authors suggest that the NHS can learn from Kaiser's integrated approach, the focus on chronic diseases and their effective management, the emphasis placed on self care, the role of intermediate care, and the leadership provided by doctors in developing and supporting this model of care. (RH). |
| Accession Number | CPA-040205201 A |
| Classmark | LD:QKW: QLD: L4: LH: 48: 7T: 8 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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