Dijkgraaf MG, Luyben AH, Jager JC, Borleffs JC; International Conference on AIDS.

Int Conf AIDS. 1992 Jul 19-24; 8: D517 (abstract no. PoD 5771).

University Hospital Utrecht, The Netherlands.

OBJECTIVES: To monitor changes in the amount of inpatient hospital care for HIV infected patients in a university hospital in The Netherlands between 1987 and 1991. DATA AND METHODS: Data on inpatient hospital treatment of 227 HIV infected patients have been recorded prospectively and have subsequently been analyzed using trend analyses. RESULTS: Between 1987 and 1991 the yearly number of admissions increased almost sevenfold (14-94) and the yearly number of inpatient days increased almost fourfold (388-1375). Per person-year the numbers of admissions and inpatient hospital days decreased. Interestingly, while the average length of stay almost halved (28.3-14.7), the average yearly number of admissions per inpatient--the readmission-factor--increased by 45% (1.37-1.99). This indicates that patients, once being admitted, returned to the hospital for another stay within the same year more frequently. Possible explanations and the role of the readmission-factor in hospital comparisons will be discussed. CONCLUSIONS: Most trends with respect to inpatient hospital resource utilization, that emerged a few years ago, continue in the same fashion: increasing total inpatient care consumption, but decreasing amount of inpatient care per person-year. One dissonant in these observations seems to be the yearly readmission-factor.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• HIV Infections
• Health Resources
• Hospitalization
• Hospitals, University
• Humans
• Inpatients
• Insurance, Hospitalization
• Netherlands
• economics
• trends

Other ID:

• 92403238

UI: 102200952

From Meeting Abstracts