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KMID : 0616620030090010017
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Journal of Soonchunhyang Medical College
2003 Volume.9 No. 1 p.17 ~ p.20
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Obstacles of the management for the prolonged bed occupation
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Lee Kyeong-Seok
Yoon Seok-Man
Kwon Hee
Lee Ho
Kim Hae-Gyung
Jho Mee-Ja
Han Gyu-Nam
Kim Myong-Sung
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Abstract
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Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control.
Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation.
Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable.
Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.
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KEYWORD
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Length of Stay, Hospital Costs, Bed Occupancy, Total Quality Management
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