Assessing the extent to which hospitals are used for acute care purposes

Medical Care

Volumn 37, Issue 6 SUPPL. 1, 1999, Pages

  Decoster, Carolyn ^a,c   Peterson, Sandra ^a   Carriere, Keumhee Chough ^a,b   Kasian, Paul ^a  

^a UNIVERSITY OF MANITOBA   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

^c UNIVERSITY OF MANITOBA   (Canada)

Author keywords

Acute care; Admission rates; Alternative level of care (ALC); Severity of illness

Indexed keywords

ACUTE DISEASE; ADULT; AGE; AGED; AMERICAN INDIAN; ARTICLE; CANADA; CHILD; HEALTH SERVICE; HEALTH SERVICES RESEARCH; HOSPITAL; HOSPITAL ADMISSION; HUMAN; LENGTH OF STAY; MIDDLE AGED; NEEDS ASSESSMENT; RETROSPECTIVE STUDY; SOCIOECONOMICS; STATISTICS; UTILIZATION REVIEW;

ACUTE DISEASE; ADULT; AGE FACTORS; AGED; CHILD; HEALTH SERVICES MISUSE; HEALTH SERVICES RESEARCH; HOSPITALS; HUMANS; INDIANS, NORTH AMERICAN; LENGTH OF STAY; MANITOBA; MIDDLE AGED; NEEDS ASSESSMENT; PATIENT ADMISSION; RETROSPECTIVE STUDIES; SOCIOECONOMIC FACTORS; UTILIZATION REVIEW;

EID: 0033146964     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199906001-00014     Document Type: Article

References (20)

1. Brownell MD, Roos NP. Variation in length of stay as a measure of efficiency in Manitoba hospitals. Can Med Assoc J 1995;152:675.
2. Black CD, Roos NP, Burchill CA. Utilization of hospital resources. Med Care 1995;33(suppl):DS55.
3. Anderson G, Sheps S, Cardiff K. Evaluation of Vi-Care: A utilization management program of the Greater Victoria Hospital Society. Vancouver, BC: University of British Columbia, 1993.
4. Health Services Utilization and Research Commission. Barriers to Community Care. Saskatoon, Saskatchewan: The Commission, 1994.
5. Lavis JN, Anderson GM. Inappropriate hospital use in Canada: Definition, measurement, determinants and policy implications. Ottawa, Ontario: University of Ottawa, 1993.
6. Ludke RL, MacDowell NM, Booth BM, Hunter SA. Appropriateness of admissions and discharges among readmitted patients. Health Serv Res 1990;25:501.
7. Smith HE, Sheps S, Matheson DS. Assessing the utilization of in-patient facilities in a Canadian pediatric hospital. Pediatrics 1993;92:587.
8. Strumwasser I, Paranjpe NV, Udow M, Share D, Wisgerhof M, Ronis DL, et al. Appropriateness of psychiatric and substance abuse hospitalizations. Med Care 1991;29(suppl):AS77.
9. Strumwasser I, Paranjpe NV, Ronis DL. Reliability and validity of utilization review criteria. Med Care 1990;28:95.
10. Shanahan M, Loyd M, Roos NP, Brownell M. A comparative study of the costliness of Manitoba hospitals. Med Care 1999;37(suppl):JS101.
11. Advisory Committee on Clinical Resource Management. Acute medical beds: How are they used in British Columbia? Victoria, BC: British Columbia Ministry of Health and Ministry Responsible for Seniors, 1997.
12. Smith CB, Goldman RL, Martin DC, Williamson J, Weir C, Beauchamp C, et al. Overutilization of acute care beds in Veterans Affairs hospitals. Med Care 1996;34:85.
13. Inglis AL, Coast J, Gray SF, Peters TJ, Frankel SJ. Appropriateness of hospital utilization: The validity and reliability of the Intensity-Severity-Discharge review system in a United Kingdom acute hospital setting. Med Care 1995;33:952.
14. Jacobs CM, Lamprey J. Adult ISD Criteria and Review System and Pediatric ISD Criteria and Review System. North Hampton, NH: Interqual, Inc, 1993.
15. Frohlich M, Markeysteyn T, Roos N, Carriere KC, Black C, DeCoster C, et al. A report on the health status, socio-economic risk and health care use of the Manitoba population 1992/93 and overview of the 1990/91 and 1992/93 findings. Winnipeg, Manitoba: Manitoba Centre for Health Policy and Evaluation, 1994.
16. Brownell MD, Roos NP, Burchill C. Monitoring the impact of hospital downsizing on access to care and quality of care. Med Care 1999;37 (suppl):JS135.
17. Brownell MD, Roos NP. Monitoring the Winnipeg hospital system: update report 1993/94. Manitoba Centre for Health Policy and Evaluation. Winnipeg, Manitoba,1996.
18. Stein J. Patients move fast in MOSS unit. Informed 1995;1(3):8.
19. DeCoster C, Roos NP, Carriere KC, Peterson S. Inappropriate hospital use by patients receiving care for medical conditions: Targeting utilization review. Can Med Assoc J 1997;157:889.
20. Cole B. Too many hospitals. Winnipeg Free Press, June 25, 1997:A10.