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私营部门对英格兰和威尔士的选择性手术的贡献

J P Nicholl, K J Thomas, B T Williams

Lancet (London, England)

|July 14, 1984

概括

1981年,私营医疗部门在英格兰和威尔士治疗了2.19万名患者,占所有住院选择性手术的13.2%. 这一重大贡献突出了私营部门的贡献.

科学领域:

医疗保健服务研究医疗服务研究
医疗保健经济学医疗保健经济学
公共卫生政策公共卫生政策

背景情况:

1981年,英格兰和威尔士的急性住院患者数量很大,需要了解服务提供.
与公共服务相比,私营部门在医疗保健提供中的作用尚未得到充分量化.

研究的目的:

估计1981年英格兰和威尔士急性住院病人的总数.
确定私营部门所进行的住院选择性手术的比例.
评估私营部门对急性医疗服务的整体影响.

主要方法:

来自英格兰和威尔士148家急性医院 (12,959份记录) 的样本患者记录的分析.
根据采样数据,估计每年接收的总数.
包括来自国家卫生服务 (NHS) 支付床的数据进行比较分析.

主要成果:

1981年,据估计有344,008名患者在英格兰和威尔士的急性医院住院.
进行了162,000例住院选择性手术 (不包括妊娠终止).
私营部门占了2.19万个选择性手术病例,占总数的13.2%,一些手术达到26%.

结论:

私营医疗保健部门在英格兰和威尔士的选择性手术提供中发挥着重要作用.
私营部门对急性住院选择性手术的总工作量做出的贡献很大.
医疗保健规划和资源分配必须考虑私营部门的能力和利用率.

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