Assessment of Service Utilization among Inpatient Services in Public Hospitals of Addis Ababa City, Ethiopia
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Date
2013-10
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Addis Abeba Universty
Abstract
Background: Inpatient service is a part of hospital system and operates its available inputs to produce the desired outputs. Usually utilization refers as use of inputs in terms of beds and patient turnover to produce outputs in terms of discharges and inpatient days. Actually efficient utilization is associated with optimal use of available inputs and more production of outputs. However most of the hospitals’ inefficient utilization was not identified with appropriate methodology; routine inpatient data didn’t used exhaustively; inpatient indicators, its analysis and interpretation as well as the implication of variations were not fully understood.
Objective: To assess service utilization among inpatient services in public hospitals of Addis Ababa city in April 2013.
Method: A retrospective record review study design was employed and all inpatient records during past three years selected to assess service utilization among inpatient services in public hospitals of Addis Ababa city. A structured checklist developed, pretested and the required data elements collected from all inpatient registers and reports.
All monthly based collected inpatient data checked for data clearance and entered into EXCEL database that computed each data elements into annual total and three years average then utilization indictors were calculated with their correct nominator and denominator values. Computed results further analyzed with SPSS version 20 software procedures that generated descriptive statistical data and it was summarized in tables. Finally relative ranks of wards compared against the average indicators value and categorized into four quadrants by applying PABON LASSO compartmentalize technique.
Results: Average utilization in bed occupancy was 53.2% and bed turnover was 40 patients per bed per year during past three years. Among PABON LASSO quadrants the majority 36% of wards lie on inefficiently utilized in contrast 28% of wards lie on efficiently utilized during the past three years.
Conclusion: The study findings clearly identified that 54% of wards underutilized their inpatient services in public hospitals of Addis Ababa City due to an excess of unused beds and longer hospitalize days during the past three years.
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Assessment of Service Utilization among Inpatient Services