BMJ 2003;327 (29 November), doi:10.1136/bmj.327.7426.0-d
NHS makes bad use of acute beds
The NHS is using its beds much less effectively than Kaiser Permanente, a Californian health maintenance organisation. Ham and collaborators (p 1257) analysed 11 leading causes of use of acute beds in the NHS, Kaiser Permanente, and the US Medicare programme. They found that lengths of stay, bed days, and total bed day use are up to three times higher in the NHS than in Kaiser and the Medicare programme. Kaiser Permanente achieves lower bed use through integration of care, active management of patients, use of intermediate care, self care, and medical leadership.
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- Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare programme: analysis of routine data
- Chris Ham, Nick York, Steve Sutch, and Rob Shaw
BMJ 2003 327: 1257.[Abstract] [Full Text] [PDF]
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