Changes in diagnostic and treatment technologies, rather than policy interventions, are the most potent force leading to the substitution of one form of healthcare service for another.
Many inpatient bed days and admissions are deemed inappropriate-but the appropriateness of admission to hospital can tell us nothing about whether patients would be more cost effectively cared for outside hospital.
Several services that attempt to be substitutes for hospital care-either by presenting adinission or by hastening discharge-have been experimented with.
Many apparent substitutes for hospital care seem, in the United Kingdom, to increase overall demand for services, with little impact on overall hospitalisation of costs.
Mots-clés Pascal : Hôpital, Soin, Aigu, Royaume Uni, Europe, Organisation santé, Hospitalisation, Admission hôpital, Substitut, Homme
Mots-clés Pascal anglais : Hospital, Care, Acute, United Kingdom, Europe, Public health organization, Hospitalization, Hospital admission, Substitute, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0514657
Code Inist : 002B30A05. Création : 18/05/2000.