A medical record review of patients hospitalized for medical conditions in Winnipeg, Canada during 1998/99 was completed using InterQual utilization review instruments. On admission, 95% of patients required the services provided in an acute care facility. Fifty-eight percent of days in hospital following the day of admission required an acute care setting, and 42% required an alternate level of care. Our results suggest there is room for treating more acute patients within the existing system.
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References
1.
DeCosterCPetersonSKasianPCarrièreK. Assessing the extent to which hospitals are used for acute care purposes. Medical Care1999; 35(Suppl)(6): JS151–JS166.
2.
FleissJL. Statistical Methods for Rates and Proportions. New York: John Wiley & Sons; 1981.
3.
RoosLLNicolJP. A research registry. Uses, development, and accuracy. Journal of Clinical Epidemiology1999; 52(1): 3947.
4.
RoosLLNicholJPCageorgeSM. Using administrative data for longitudinal research: Comparisons with primary data collection. Journal of Chronic Diseases1987; 40: 41–9.
5.
RoosLLNicolJPJohnsonCRoosNP. Using administrative data banks for research and evaluation: A case study. Evaluation Quarterly1979; 3: 236–255.
6.
HSURC.Barriers to Community Care. Saskatoon, SK: Health Services Utilization and Research Commission; 1994.
7.
ACCRM.Acute Medical Beds: How Are They Used in British Columbia?Victoria, BC: Ministry of Health and Ministry Responsible for Seniors; 1997.
8.
WrightCJCardiffK. The Utilization of Acute Care Medical Beds in Prince Edward Island. Vancouver, BC: Centre for Health Services and Policy Research; 1998.
9.
JPPC.Non-Acute Hospitalization Report (Adult). Toronto, ON: Joint Policy and Planning Committee; 1997.
10.
TreriseBDodekPLeungASpinelliJJ. Inappropriate Underutilization of Services in an Acute Care Hospital. Vancouver, BC: Centre for Health Evaluation & Outcome Sciences; 1999.
11.
StrumwasserIParanjpeNVRonisDLShareDSellLJ. Reliability and validity of utilization review criteria. Medical Care1990; 28: 95–109.
12.
InglisALCoastJGraySFPetersTJFankelS. Appropriateness of hospital utilization. Medical Care1995; 9: 952–957.
13.
BruceSGBlackCBurchillCDe HaneyS. Profile of Medical Patients who were Assessed as Requiring Observation-level Services at Winnipeg Acute Care Hospitals in 1998/99. Winnipeg, MB: Manitoba Centre for Health Policy; 2002.
