International benchmarking of hospital utilisation: how does the South African private sector compare?

IF 0.1 Q4 BUSINESS, FINANCE
By S Ranchod, B. Childs, M. Abraham, R. Taylor
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引用次数: 3

Abstract

We benchmark the hospital-inpatient admission rates and average length of stay of the South African medical scheme population against a set of international comparators. Such a comparison is useful in developing reasonable expectations of the utilisation achievable in the private-hospital sector in South Africa, and as a means of identifying unusual characteristics of the South African environment. Such comparisons should be done on a like-for-like basis, and explicitly adjusted for differences in data definitions, patient demographics and clinical case mix. Structural differences between countries must be considered in interpreting results. We use an economic basis for determining the comparator set rather than a health-systems basis. Detailed case-mix data by country is not available so demographic and broad disease-grouping categories are used as proxies. A further limitation is that day cases are excluded. Considering two separate data sources, South Africa appears to have relatively high admission rates with low average lengths of stay. On a combined basis, the bed days used per 1 000 medical scheme beneficiaries for South Africa appears near the lower end of the spectrum, which suggests that the South African private sector is making relatively efficient use of its hospital resources.
医院利用的国际基准:南非私营部门如何比较?
我们将南非医疗计划人口的住院率和平均住院时间与一组国际比较指标进行比较。这种比较有助于对南非私营医院部门可实现的利用情况作出合理预期,并有助于确定南非环境的不同寻常特点。此类比较应在同类基础上进行,并根据数据定义、患者人口统计学和临床病例组合的差异进行明确调整。在解释结果时必须考虑到各国之间的结构差异。我们使用经济基础来确定比较国,而不是卫生系统基础。没有按国家分列的详细病例组合数据,因此使用人口统计和广泛的疾病分组类别作为替代。另一个限制是排除了日病例。考虑到两个独立的数据来源,南非的录取率似乎相对较高,平均停留时间较短。综合来看,南非每1 000名医疗计划受益人使用的住院天数似乎处于较低水平,这表明南非私营部门正在相对有效地利用其医院资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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South African Actuarial Journal
South African Actuarial Journal BUSINESS, FINANCE-
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