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A general medical short-stay unit is not more efficient than a traditional model of care
Patrick T Russell1, Paul Hakendorf2, Campbell H Thompson3
1Flinders Medical Centre, Adelaide, SA, Australia. patrick.russell@health.sa.gov.au.
Objectives:
To assess the efficiency of a short-stay unit (SSU) for undifferentiated medical patients and evaluate its effect on the overall efficiency of a general medicine department.
Design, Setting And Patients:
Retrospective study of all general medical patients admitted to the SSU at Flinders Medical Centre, South Australia, during its 5 years of operation (2005-2009), compared with 4 years before its institution and 2 years after its closure.
Main Outcome Measures:
Relative stay index (RSI); inhospital mortality; readmissions within 7 and 28 days.
Results:
23 790 general medical patients were admitted overall, and 10 764 of these (45.2%) were admitted to the SSU. The RSI for the SSU during its years of operation was 0.79, compared with 1.34 for the long-stay unit. The overall RSI for the department did not improve during those years and was not significantly different to the periods before or after.
Conclusions:
We found no evidence that an SSU for undifferentiated medical patients creates bed capacity. It does, however, appear to be safe.
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