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Community hospitals and district general hospital medical bed use by elderly people: a study of 342 general practitioner beds in Oxfordshire
Author(s)P J Cook, L Porter
Journal titleAge and Ageing, vol 27, no 3, May 1998
Pagespp 357-362
KeywordsHospital services ; Community hospital ; Bed availability ; Usage [services] ; Oxfordshire.
AnnotationRural community hospitals (CHs) may reduce the use of district general hospital (DGH) beds by older people. However, DGH medical bed usage may be influenced more by distance from a DGH than by the existence of CH beds. This study examined the effects of CHs and distance from general practitioner (GP) practice on medical bed use by older people in Oxfordshire. Results showed that both DGH and CH bed use were strongly inversely correlated with the distance between GP surgery and hospital. Practices with access to CHs were further away from the DGHs and used 50% fewer DGH beds but 40% more CH and DGH medical beds combined than those without CH access. There was a weak inverse correlation between DGH and CH bed use: on average, access to each CH bed was associated with the use of 0.16 fewer DGH beds. The study concluded that distance from a hospital and the level of CH bed provision were the principal determinants in the variation of bed use. (AKM).
Accession NumberCPA-981208237 A
ClassmarkLD: LD:PA: QKW: QLD: 8O

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