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Excess acute care bed capacity and its causes: the experience of New York State.
Health Serv Res. 1995 Apr; 30(1):115-31.HS

Abstract

OBJECTIVE

The study was developed to identify numbers of excess hospital medical-surgical and pediatric bed capacity and the variables that produce them in the counties of New York State.

DATA SOURCES/STUDY SETTING

Data were collected from New York's Statewide Planning and Research Cooperative System (SPARCS) for 1991. This system includes data for all hospital discharges in New York State by county. The counties of New York State include a full range of urban, suburban, and rural settings.

STUDY DESIGN

A methodology was developed for projecting excess numbers of acute medical-surgical and pediatric beds. The impact of utilization variables (such as hospital discharge rates and lengths of stay) on bed levels were analyzed, as well as the effects of demographic, social, and health care resource availability.

DATA COLLECTION/EXTRACTION METHODS

Data were collected through discharge abstracts provided by hospitals in New York State.

PRINCIPAL FINDINGS

The data demonstrated that hospital discharges and lengths of stay contributed to excess utilization at different levels in New York State counties. The data also identified relationships between lower incomes and educational levels, as well as larger supplies of physicians and high-variation discharges, and excess beds.

CONCLUSIONS

The causes of excess hospital beds varied considerably among communities in New York State; each community must develop its own approach to this problem.

Authors+Show Affiliations

Principal Health Planner, New York State Department of Health, Albany 12237, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7721582

Citation

Pasley, B H., et al. "Excess Acute Care Bed Capacity and Its Causes: the Experience of New York State." Health Services Research, vol. 30, no. 1, 1995, pp. 115-31.
Pasley BH, Lagoe RJ, Marshall NO. Excess acute care bed capacity and its causes: the experience of New York State. Health Serv Res. 1995;30(1):115-31.
Pasley, B. H., Lagoe, R. J., & Marshall, N. O. (1995). Excess acute care bed capacity and its causes: the experience of New York State. Health Services Research, 30(1), 115-31.
Pasley BH, Lagoe RJ, Marshall NO. Excess Acute Care Bed Capacity and Its Causes: the Experience of New York State. Health Serv Res. 1995;30(1):115-31. PubMed PMID: 7721582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Excess acute care bed capacity and its causes: the experience of New York State. AU - Pasley,B H, AU - Lagoe,R J, AU - Marshall,N O, PY - 1995/4/1/pubmed PY - 1995/4/1/medline PY - 1995/4/1/entrez SP - 115 EP - 31 JF - Health services research JO - Health Serv Res VL - 30 IS - 1 N2 - OBJECTIVE: The study was developed to identify numbers of excess hospital medical-surgical and pediatric bed capacity and the variables that produce them in the counties of New York State. DATA SOURCES/STUDY SETTING: Data were collected from New York's Statewide Planning and Research Cooperative System (SPARCS) for 1991. This system includes data for all hospital discharges in New York State by county. The counties of New York State include a full range of urban, suburban, and rural settings. STUDY DESIGN: A methodology was developed for projecting excess numbers of acute medical-surgical and pediatric beds. The impact of utilization variables (such as hospital discharge rates and lengths of stay) on bed levels were analyzed, as well as the effects of demographic, social, and health care resource availability. DATA COLLECTION/EXTRACTION METHODS: Data were collected through discharge abstracts provided by hospitals in New York State. PRINCIPAL FINDINGS: The data demonstrated that hospital discharges and lengths of stay contributed to excess utilization at different levels in New York State counties. The data also identified relationships between lower incomes and educational levels, as well as larger supplies of physicians and high-variation discharges, and excess beds. CONCLUSIONS: The causes of excess hospital beds varied considerably among communities in New York State; each community must develop its own approach to this problem. SN - 0017-9124 UR - https://www.unboundmedicine.com/medline/citation/7721582/Excess_acute_care_bed_capacity_and_its_causes:_the_experience_of_New_York_State_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/7721582/ DB - PRIME DP - Unbound Medicine ER -