HCUP Facts and Figures: Statistics on Hospital-based Care in the United States

HCUP Facts and Figures 2008 Statistics on Hospital-Based Care in the United States, 2008

The number of patients who needed home health care after being discharged from hospitals surged by about 70 percent (2.3 million to 4 million) from 1997 to 2008.  [Source: Agency for Healthcare Research and Quality, HCUP, HCUP Facts and Figures, Statistics on Hospital-Based Care in the United States, 2008.]

Some highlights from HCUP Facts and Figures: Statistics on Hospital-based Care in the United States, 2008 

OVERVIEW STATISTICS FOR INPATIENT HOSPITAL STAYS	EXHIBIT
The number of hospital discharges increased from 34.7 million in 1997 to 39.9 million in 2008, a 15-percent increase overall, or an average annual increase of 1.3 percent.	1.1
Between 1997 and 2008, the aggregate inflation-adjusted costs for hospitalizations—the actual costs of producing hospital services—increased 61 percent. Costs rose from $227.2 billion to $364.7 billion—an average annual increase of 4.4 percent.	1.1
The average length of stay (ALOS) in 2008 (4.6 days) was almost 20 percent shorter than in 1993 (5.7 days). The ALOS declined throughout most of the 1990s and has remained unchanged since 2000.	1.2
Circulatory conditions were the most frequent major cause of hospital stays in 2008, accounting for 5.9 million stays or 15 percent of all discharges.	1.3
Even when pregnancy and childbirth stays are excluded, females accounted for more stays than males—18.6 million stays for females compared to 16.5 million stays for males.	1.3
Pregnancy and childbirth was the reason for 1 out of every 5 female hospitalizations (4.7 million stays).	1.3
Medicare and Medicaid were the expected primary payers for more than half (55 percent) of all inpatient hospital discharges.	1.4
Between 1997 and 2008, Medicaid discharges (up 30 percent) grew at double the rate of all discharges, followed closely by uninsured discharges (up 27 percent).	1.4
The number of discharges billed to Medicare grew by 18 percent.	1.4
Growth in the number of discharges billed to private insurance remained relatively stable (5 percent).	1.4
The number of discharges to home health care grew by 69 percent (1.6 million discharges) between 1997 and 2008.	1.5
Uninsured and Medicaid stays accounted for nearly half (48 percent) of all stays discharged against medical advice, but only about one-quarter (23 percent) of all stays in 2008.	1.5
Persons residing in the poorest communities had a 21-percent higher rate of hospitalization in 2008 (148 discharges per 1,000 population) than those residing in all other communities (122 discharges per 1,000 population).	1.6

Reluctance to Speak up Encourages Medical Errors

Reluctance to Speak up Encourages Medical Errors

From the March 22 2011 Health Day news item by Robert Preidt

TUESDAY, March 22 (HealthDay News) — Nurses often don’t speak up about incompetent colleagues or when they see fellow health-care workers making mistakes that could harm patients, new research finds.

In recent years, many hospitals have taken steps to reduce medical errors through measures such as checklists, patient handoff protocols, computerized order entry systems and automated medication-dispensing systems.

But the study***, which included 6,500 nurses and nurse managers across the United States, found that too often, nurses don’t alert their colleagues when they see a safety measure being violated…..

 

*** An executive summary of the study may be found here

[For suggestions on how to get this article for free or at low cost, click here]

 

“Summaries for Patients” and other plain language summaries help patients and others understand medical studies and guidelines

Heard or read about research on a medical topic but not sure if the news is reliable? Looking for trusted information on a treatment or drug carefully reviewed by experts? Do scientific articles seem to contain good information, but they are hard to understand?

Not sure where to go next?  You are not alone.

These plain language summaries are great places to start for medical and health information that has been rewritten for those of us who are not scientists or health care professionals. Much of the information is free, and often there are great links to reliable Web pages for additional information.

• Summaries for Patients  are short plain language summaries of medical research and guides for doctors.

                    These summaries will help you

• Discover how researchers did the published study and what they found, including
  • What the problem was and why it is studied
  • Who was studied and why the study was done
  • What the scientists found and what the limits of the study were
• Find overviews about clinical guidelines -official recommendations for doctors in treating patients

To locate a specific summary

• Go to Patient Information
• Follow the directions under the Summaries for Patients heading

•  patientINFORM plain language summary Web sites  are provided only by participating science and medicine publishers.

These summaries are provided to help patients or their caregivers more fully understand  research results. They also provide links  to the full text of  many research articles.
Some full text articles are free. Others require a reduce-fee payment (much less than ordering from the publisher!).
(Always check to see if you can get the article for free or at even lower cost from your area public, medical, or academic library – most libraries will try to help anyone who contacts them directly)

Cochrane Summaries^beta

Independent high-quality evidence for health care decision making

• Cochrane Collaboration provides well researched reviews of the strongest evidence available about healthcare interventions (as drugs, medical tests,  and medical procedures).  Every available treatment/test has not yet been reviewed. However each review is conducted in depth by experts.            

              To find plain language  and audio summaries of Cochrane Reviews

• Go to the Cochrane Reviews Home page and scroll down to Browse Free Summaries
  
• Click on a topic OR scroll down and click on All Summaries
• The All Summaries page will allow you to
  • Search by entering words and short phrases (as headache, multiple sclerosis drugs, asthma acupuncture
  • Browse by Health Topics (left column)
  • Include only these in the search results
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Related Blog Items 

• How to read a research paper (and also understand medical/health news items)
• HealthNewsReview.org – Independent Expert Reviews of News Stories (jflahiff.wordpress.com)

Cannot find a plain language summary with the above resources?

Consider asking a reference librarian for help at your local public, academic, or hospital library. Many academic and hospital libraries provide at least limited reference service to the public.
Call or email them for information about their services.

You may also contact me at jmflahiff@msncom.  I will do my best to reply within 48 hours.