PHP 0310 Lecture Notes - Lecture 20: Catheter, United States Court Of Appeals For The Federal Circuit, Cauterization

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Fewer stand-alone hospitals, more hospitals in health systems: economies of scale: cost savings are gained by increased level of production, more market share --> more bargaining power, shift from inpatient to outpatient care. Inpatient: formal admission to hospital: 3x outpatient visits for inpatient days, capacity change: smaller number of beds available and staffed. Since 1994, fewer beds overall and per 1000 people. Shorter average length of stay (because each day costs more money and under pps system they aren"t paid more: alos: total days of care/total discharges. Indicator for severity of illness and resource use: decrease in occupancy rates. Types of hospitals: classification by ownership/control, government: public, funded by tax dollars, can"t turn anyone away. State/local: psychiatric, city, county-run hospitals: non-government: private, smaller, can refuse treatment, not for profit/voluntary: exempt from taxes. For profit chains: owned by stock holders: public control hospitals, community hospitals (majority)

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