Hospital care shifts off from overnight stays


The Australian Institute of Health and Welfare (AIHW) has published hospital admission data, revealing that hospital admissions rose by a median 3.3% each year between 2014–15 and 2018–19, double the increase over the identical period.

The MyHospitals update reported 11.5 million hospitalisations in Australia for the amount 2018–19 — a rise from 10.1 million in 2014–15.

“Hospital care has shifted far from overnight stays over recent years, with the typical length of stay declining and a shift toward more same-day hospitalisations,” AIHW spokesperson Dr Adrian Webster said.

“Same-day hospitalisations (where the patient doesn’t stay overnight) have risen faster than overnight hospitalisations, largely thanks to increases in same-day stays for sub-acute and non-acute care.”

Sub-acute and non-acute care includes rehabilitation, certain forms of geriatric and maintenance care and palliative care.

In a population of 1000, same-day hospitalisations rose a median of two.7% p.a. publicly hospitals and 1.0% privately hospitals. In contrast, overnight hospitalisations rose, on average, 0.5% p.a. publicly hospitals and fell 1.1% each year in camera hospitals. the common length of stay in hospital decreased by a mean of 0.8% p.a. from 5.5 days to five.4 days.

Six in ten admissions were to public hospitals in 2018–19 and publicly funded hospital admissions grew faster than admissions funded by private sources (3.7% average growth annually compared with 2.6%).

Between 2014–15 and 2018–19, emergency admissions increased at the next rate than elective admissions in both public and personal hospitals (3.9% average annual growth for public and 4.8% for personal compared to 2.7% growth publically elective admissions and a pair of.0% growth in camera elective admissions). particularlythe expansion in emergency admissions involving surgery for complications associated with type 2 diabetes increased by 14% within the last 12 months.

The data shows that vaccine-preventable hospitalisations were 22% lower in 2018–19 than in 2017–18, following a spike in admissions because of influenza in 2017–18. However, overall admissions for potentially preventable hospitalisations increased during this era, driven by a rise in hospitalisations for complications associated with diabetes.

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