Abstract
TO STUDY THE UTILIZATION PATTERN OF DAY CARE SERVICES AT TERTIARY CARE HOSPITAL IN NORTHERN INDIA

Satish Kanwar*

ABSTRACT

Introduction: Day care facilities in the hospital is a cost-effective, quality approach to patient care that has expanded rapidly in recent years. The efficient bed management is most important for better utilization of hospitals. Hospital utilization indices are sensitive indicators to find pressure areas and thus help in proper allocation of hospital resources and forming better healthcare policies for hospitals. Aim and objective of the study was to draw comparison between utilization of day care services in the OPD and indoor admissions by each individual department in hospital utilization indices. Meterials and Methods: It is a record based observational cross-sectional study conducted at a tertiary care hospital. Concerned data was collected from the hospital medical record section and entered in a pre-designed proforma. Trends of various hospital indices were analysed. Results: Study shows that maximum number of patients were treated on Thursday 841 and minimum on Saturday 113. Internal medicine has referred maximum 1241 patients for day care and only 35patients by renal department. In June month maximum 532 patients obtained day care facilities while it was only 473 in September. Fluctuations in bed occupancy rate (BOR), Average length of stay (ALOS), bed turnover rate (BTOR) and turn over interval (TOI) from May to September 2021. Conclusions: By studying the different indices, it was found that only six departments utilizing hospital day care service. It will help in formulation of revised standard operative procedures, strategies for admission and discharge, policies for quality care in ward management utilization of health facilities can be better by improving hospital information system, use of modern technology, providing clear-cut job description, and providing the clinicians with appropriate training may help alleviate the patient overstay and suboptimal utilization of resources in hospital.

Keywords: Hospital utilization indices, Bed occupancy rate, Average length of stay, Bed turnover rate.


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