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Regionalization and hospital utilization: Alberta 1991/2-1996/7.

L D Saunders1, K S Bay, A A Alibhai

  • 1Department of Public Health Sciences, University of Alberta.

Healthcare Management Forum
|October 28, 1999
PubMed
Summary
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Alberta

Area of Science:

  • Health Services Research
  • Health Policy Analysis
  • Hospital Administration

Background:

  • Alberta Health initiated a major healthcare restructuring in 1994.
  • This involved significant funding cuts to acute hospital care.
  • Seventeen Regional Health Authorities (RHAs) were established.

Purpose of the Study:

  • To analyze trends in acute hospital utilization by Alberta residents and within RHAs from 1991/2 to 1996/7.
  • To examine trends in acute hospital service provision by RHAs and the Alberta Cancer Board.
  • To track patient transfer patterns between RHAs.

Main Methods:

  • Descriptive analysis of healthcare utilization data.
  • Trend analysis of hospital separations, length of stay, and hospital days.

Related Experiment Videos

  • Calculation of RHA self-sufficiency and import indices.

    • Main Results:

    • Significant decreases in acute hospital utilization rates (separation, length of stay, hospital days) for Alberta residents.
    • Reduced hospital days across all 17 RHAs.
    • Increased care intensity and decreased patient transfers into most RHAs.

    Conclusions:

    • Alberta experienced substantial reductions in acute hospital service use during healthcare restructuring.
    • Further research is required to understand shifts to alternative care sectors.
    • The impact of these service reductions on patient outcomes needs investigation.