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- Sarría SantameraAACenter for the Evaluative Clinical Sciences, Darmouth Medical School, Hanover NH 01755-3863, USA. and P García Benito.
- Center for the Evaluative Clinical Sciences, Darmouth Medical School, Hanover NH 01755-3863, USA.
- Gac Sanit. 1996 Jan 1; 10 (52): 12-7.
AbstractRegional differences in hospital utilization have been long recognized. The objective of this study is to find out differences in hospital utilization and structure between Madrid and Catalonia. We calculate the crude and adjusted discharge and bed days rates and average length of stay from 1987 through 1989 for all diagnoses, and for 30 selected diagnoses by province of residence in 1987. We obtained the located and allocated beds, and the distribution of discharges by payers and of beds by providers for both regions, Catalonia shows consistently higher discharge rates (40% of public beds and 3.70 used beds) and Madrid has longer hospital stays (70% of public beds and 3.98 used beds). This work allows to formulate two questions about how health services operate: 1) organizational aspects could affect medical behavior. 2) hospital bed days could depend more on discharge rates than on length of stay.
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