ArticleCost effectiveness and resource allocation : C/E2020
Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria.
Article in Cost effectiveness and resource allocation : C/E, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
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- Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study.International journal of general medicine · 2023Article
- Standard workload-based estimation of nursing manpower requirement in the ICU of a tertiary care teaching hospital: A time and motion study.Journal of education and health promotion · 2023Article
- Association of Hospital Bed Turnover With Patient Outcomes in Digestive Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Cost of hospital services in India: a multi-site study to inform provider payment rates and Health Technology Assessment.BMC health services research · 2022Article
- COVID-19 Pandemic and Hospital Efficiency in Iran: Insight from an Interrupted Time Series Analysis and Pabon Lasso Model.Journal of lifestyle medicine · 2022Article
- Hospitalization costs for COVID-19 in Ethiopia: Empirical data and analysis from Addis Ababa's largest dedicated treatment center.PloS one · 2022Article
- [Factors Associated with Triggers and Adverse Events in PediatricsFactores asociados con desencadenantes y eventos adversos en pediatría].Revista CuidarteArticle
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Abstract
backgroundNigeria health sector, like that of other sub-Saharan African countries, increasingly faces critical resource constraints. Thus, there is need to seek for ways of improving efficient use of scarce health resources. The aim of this study was to determine resource utilization rate of teaching hospitals in Southeast Nigeria as a means of estimating their efficiency.
methodsThe study is a longitudinal cross sectional study. It applied ratio indicators and Pabon Lasso model using data on the number of hospital bed, number of inpatients and total inpatient-days from purposefully selected teaching hospitals in Southeast Nigeria to measure efficiency over a period of 6 years (2011-2011).
resultsThe hospitals' mean bed occupancy rate was as low as 42.14%, far below standard benchmark of 80-85%. The mean average length of stay was as high as 8.15 days and observed mean bed turnover was 21.27 patients/bed/year. These findings portrayed high level of inefficiency in Nigeria teaching hospitals, which was further illustrated by Pabon Lasso graph, with only 10-20% of the hospital-years located within or near the efficient zone or quadrant.
conclusionThe study was able to show that health ratio indicators such as hospital bed turnover rate (BTR) and bed occupancy rate (BOR), as well as patients' average length of stay (ALS) can be used as tools for assessing hospital performance or its efficiency in resource utilization. Thus, in low and middle income countries where medical record keeping may be inadequate or poor, ratio indicators used alone or with Pabon Lasso graph/chart could be an optional metrics for hospital efficiency.
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