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Bed usage and disease specific mortality within ICD chapters.

R West

    Journal of Epidemiology and Community Health
    |March 1, 1978
    PubMed
    Summary
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    This study found significant correlations between mortality and hospital bed usage in specific disease categories for both males and females. It questions the use of standardized mortality ratios (SMRs) in resource allocation formulas when no correlation exists.

    Area of Science:

    • Health Services Research
    • Medical Informatics
    • Epidemiology

    Background:

    • Hospital In-Patient Enquiry (HIPE) data provides insights into healthcare utilization.
    • The Resource Allocation Working Party (RAWP) formula uses standardized mortality ratios (SMRs) for resource allocation.
    • Understanding the relationship between mortality and bed usage is crucial for efficient healthcare management.

    Purpose of the Study:

    • To examine the correlation between mortality rates and hospital bed utilization across various disease categories.
    • To evaluate the appropriateness of using standardized mortality ratios (SMRs) in resource allocation formulas for all disease chapters.

    Main Methods:

    • Analysis of Hospital In-Patient Enquiry (HIPE) data.
    • Examination of disease categories within 10 chapters of the International Classification of Diseases (ICD).

    Related Experiment Videos

  • Statistical correlation analysis between mortality and bed usage for male and female patient groups.

    • Main Results:

    • Significant correlations between mortality and bed usage were identified in six disease chapters for males and six for females.
    • The study questions the universal application of SMRs in the RAWP formula for chapters lacking demonstrated correlation.
    • Specific recommendations are made for adjusting SMR calculations for urinary, genital, and accident-related disease categories.

    Conclusions:

    • The relationship between mortality and bed usage varies significantly across different disease categories.
    • The current methodology for calculating SMRs within the RAWP formula may require refinement for certain disease groups.
    • Separate SMRs for specific conditions and subdivisions of chapters like accidents, poisoning, and violence are suggested for improved accuracy.