Evaluation of Hospitalizations During and Before the COVID-19 Pandemic

Cahit Korku

Makale detayları

Evaluation of Hospitalizations During and Before the COVID-19 Pandemic

Yazarlar:

Cahit Korku

Yayıncı:

Gumushane University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.12-20

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285938

pISSN:

2146-9954

Anahtar kelimeler:

Özet:

 The aim of this study is to compare the hospitalizations between the pandemic period and the pre-pandemic period and to determine the change in service usage. The research covers all hospitalizations in a training and research hospital during the pre-pandemic period March 2019-February 2020 and the pandemic period March 2020-February 2021. The research was conducted as a retrospective and descriptive study. All data on 60.726 patients included in the study in the relevant period were analyzed. During the pandemic period, there was a 36.61 decrease in hospitalization compared to the pre-pandemic period. While the month in which the number of hospitalizations decreased the most was May 2020 51.78, the month with the lowest decrease was August 2020 16.45. There was a decrease in hospitalizations in all areas except infectious diseases and palliative care in terms of the units where the patients were hospitalized. While hospitalizations increased by approximately 500 in the infectious diseases and clinical microbiology unit, it decreased by 50 in general surgery, 80 in thoracic surgery, and 67 in cardiology. Despite the decrease in the number of hospitalizations, the number of deaths has increased. While there was no significant change in the length of hospital stay, the amount of bill per patient increased by more than 72. It is thought that the decrease in hospitalizations during the pandemic period may reflect negatively on service deficits and, accordingly, on patient outcomes in the future. In order to reduce the negative impact of the pandemic on routine patients, urgent measures should be taken by decision makers to address service gaps.

 The aim of this study is to compare the hospitalizations between the pandemic period and the pre-pandemic period and to determine the change in service usage. The research covers all hospitalizations in a training and research hospital during the pre-pandemic period March 2019-February 2020 and the pandemic period March 2020-February 2021. The research was conducted as a retrospective and descriptive study. All data on 60.726 patients included in the study in the relevant period were analyzed. During the pandemic period, there was a 36.61 decrease in hospitalization compared to the pre-pandemic period. While the month in which the number of hospitalizations decreased the most was May 2020 51.78, the month with the lowest decrease was August 2020 16.45. There was a decrease in hospitalizations in all areas except infectious diseases and palliative care in terms of the units where the patients were hospitalized. While hospitalizations increased by approximately 500 in the infectious diseases and clinical microbiology unit, it decreased by 50 in general surgery, 80 in thoracic surgery, and 67 in cardiology. Despite the decrease in the number of hospitalizations, the number of deaths has increased. While there was no significant change in the length of hospital stay, the amount of bill per patient increased by more than 72. It is thought that the decrease in hospitalizations during the pandemic period may reflect negatively on service deficits and, accordingly, on patient outcomes in the future. In order to reduce the negative impact of the pandemic on routine patients, urgent measures should be taken by decision makers to address service gaps.

 The aim of this study is to compare the hospitalizations between the pandemic period and the pre-pandemic period and to determine the change in service usage. The research covers all hospitalizations in a training and research hospital during the pre-pandemic period March 2019-February 2020 and the pandemic period March 2020-February 2021. The research was conducted as a retrospective and descriptive study. All data on 60.726 patients included in the study in the relevant period were analyzed. During the pandemic period, there was a 36.61 decrease in hospitalization compared to the pre-pandemic period. While the month in which the number of hospitalizations decreased the most was May 2020 51.78, the month with the lowest decrease was August 2020 16.45. There was a decrease in hospitalizations in all areas except infectious diseases and palliative care in terms of the units where the patients were hospitalized. While hospitalizations increased by approximately 500 in the infectious diseases and clinical microbiology unit, it decreased by 50 in general surgery, 80 in thoracic surgery, and 67 in cardiology. Despite the decrease in the number of hospitalizations, the number of deaths has increased. While there was no significant change in the length of hospital stay, the amount of bill per patient increased by more than 72. It is thought that the decrease in hospitalizations during the pandemic period may reflect negatively on service deficits and, accordingly, on patient outcomes in the future. In order to reduce the negative impact of the pandemic on routine patients, urgent measures should be taken by decision makers to address service gaps.

 Bu araştırmanın amacı, pandemi dönemi ile pandemi öncesi dönemdeki hastane yatışlarını karşılaştırmak ve hizmet kullanımındaki değişimi tespit etmektir. Araştırma, pandemi öncesi dönem Mart 2019-Şubat 2020 ile pandemi döneminde Mart 2020-Şubat 2021 bir eğitim ve araştırma hastanedeki tüm yatışları kapsamaktadır. Araştırma retrospektif ve tanımlayıcı bir araştırma olarak yürütülmüştür. İlgili dönemde araştırma kapsamına giren 60.726 hastaya ilişkin tüm veriler analiz edilmiştir. Pandemi döneminde pandemi öncesi döneme göre hasta yatışında 36,61lık bir azalma meydana gelmiştir. Hastane yatış sayısının en fazla düştüğü ay Mayıs 2020 51,78 iken en az düştüğü ay Ağustos 2020 16,45 olmuştur. Hastaların yatış yaptıkları birimler bakımından enfeksiyon hastalıkları ve palyatif bakım hariç tüm alanlardaki yatışlarda düşüş meydana gelmiştir. Enfeksiyon hastalıkları ve klinik mikrobiyoloji biriminde hasta yatışları yaklaşık olarak 500 artarken, genel cerrahide 50, göğüs cerrahisinde 80, kardiyolojide 67 azalmıştır. Yatış sayılarındaki düşüşe karşın ölüm sayıları artmıştır. Hastane yatış süresinde önemli bir değişme olmazken hasta başına düşen fatura tutarı 72nin üzerinde artmıştır. Pandemi döneminde hastane yatışlarındaki düşüş, sunulması gereken hizmetin aksamasına ve buna bağlı olarak olumsuz hasta sonuçlarına neden olabilir. Pandeminin rutin hastalar üzerindeki olumsuz etkisini azaltmak için karar vericiler tarafından hizmet açıklarına yönelik acil önlemler alınmalıdır.

Makale detayları

Evaluation of Hospitalizations During and Before the COVID-19 Pandemic

Yazarlar:

Cahit Korku

Yayıncı:

Gumushane University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.12-20

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285938

pISSN:

2146-9954

COVID-19

Hospitalizations

Patient

Service gap

COVID-19

Hastane yatışları

Hasta

Hizmet açığı

Sayı

Makale detayları

Yazarlar: Cahit Korku

Yayıncı: Gumushane University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.12-20

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001285938

pISSN: 2146-9954

Sayı

Yazarlar:

Cahit Korku

Yayıncı:

Gumushane University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 1, pp.12-20

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285938

pISSN:

2146-9954