英国NHS住院病床的长期趋势,1960年至2020年
Patrick Keown1,2, Ross Alder3, Georgina Wild3
1Translational and Clinical Research Institute, Academic Psychiatry, Wolfson Research Centre, Newcastle University, Newcastle upon Tyne, United Kingdom.
PloS one
|August 29, 2025
概括
英格兰的NHS住院病床从1960年到2020年减少了78%. 在学习障碍和精神疾病病床上发生了显著的减少,到2020年地区差异将出现.
科学领域:
- 医疗服务研究
- 公共卫生政策
- 医疗保健管理
背景情况:
- 英国国家卫生服务 (NHS) 几十年来在住院病床提供方面经历了重大变革.
- 了解病床容量的长期趋势对于评估医疗保健系统的表现和规划至关重要.
研究的目的:
- 分析1960年至2020年英格兰NHS住院病床减少的趋势.
- 为了比较五种病床的减少:急性病,老年病,产妇病,精神疾病和学习障碍.
- 在研究期末评估床位供应的区域差异.
主要方法:
- 使用了回顾性观察性研究设计.
- 分析了每10万英格兰人的NHS住院病床供应数据.
- 进行了2019/20年度减产率和区域比较.
主要成果:
- 60年来,NHS的住院病床供应持续下降,从1960年到2020年,整体减少了78.0%.
- 在学习障碍 (98.7%) 和精神疾病 (90.6%) 病床上观察到最显著的减少.
- 到2019/20年,病床数量的区域差异显而易见,这表明住院护理的提供不平等.
结论:
- 持续的床位减少是NHS的特点,床位类型和时间差异显著.
- 这些趋势需要在为未来的健康危机如流行病和冬季压力做准备时仔细考虑.
- 到2020年,NHS住院护理的区域不平等,特别是学习障碍服务.
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