Trends in the supply of California's emergency departments and inpatient services, 2005-2014: a retrospective analysis

BMJ Open
Jessica L ChowRenee Y Hsia

Abstract

Given increasing demand for emergency care, there is growing concern over the availability of emergency department (ED) and inpatient resources. Existing studies of ED bed supply are dated and often overlook hospital capacity beyond ED settings. We described recent statewide trends in the capacity of ED and inpatient hospital services from 2005 to 2014. Retrospective analysis. Using California hospital data, we examined the absolute and per admission changes in ED beds and inpatient beds in all hospitals from 2005 to 2014. Our sample consisted of all patients inpatient and outpatient) from 501 hospital facilities over 10-year period. We analysed linear trends in the total annual ED visits, ED beds, licensed and staffed inpatient hospital beds and bed types, ED beds per ED visit, and inpatient beds per admission (ED and non-ED). Between 2005 and 2014, ED visits increased from 9.8 million to 13.2 million (an increase of 35.0%, p<0.001). ED beds also increased (by 29.8%, p<0.001), with an average annual increase of 195.4 beds. Despite this growth, ED beds per visit decreased by 3.9%, from 6.0 ED beds per 10 000 ED visits in 2005 to 5.8 beds in 2014 (p=0.01). While overall admission numbers declined by 4.9% (p=0.06), inpatient medi...Continue Reading

Citations

Mar 20, 2019·JAMA : the Journal of the American Medical Association·Mary P MercerHemal K Kanzaria
May 20, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ayala Kobo-GreenhutIzhar Ben Shlomo

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