Hospitals are under significant pressure from payers to reduce costs. The single largest fixed cost for a hospital is inpatient beds, yet there is significant variation in hospital capacity utilization. We study bed capacity in New York City hospital obstetrics units and find that while many hospitals have an insufficient number of beds to provide timely access to care, overall there is signifi...

OBJECTIVE This paper aims to present the first data on the long-term use of clozapine in an entire cohort of patients encountered in a community, the Australian Capital Territory. It examines the clinical and financial outcomes 3 years after the prescription of clozapine to a cohort of 37 patients. METHOD Experience during the 2 years before clozapine was prescribed was compared with experien...

OBJECTIVE To estimate the effect of certificate-of-need legislation on hospital bed supply and healthcare expenditures. STUDY DESIGN This study uses state data on several variables, including healthcare expenditures, hospital bed supply, and the existence of a certificate-of-need program, from 4 periods (1985, 1990, 1995, and 2000). METHODS We estimate 2 multivariate regression equations. I...

background: hospital emergencies have an essential role in health care systems. in the last decade, developed countries have paid great attention to overcrowding crisis in emergency departments. simulation analysis of complex models for which conditions will change over time is much more effective than analytical solutions and emergency department (ed) is one of the most complex models for anal...

abstract: background: when organization managed by experienced, competent and well performed managers, the organization will be succeeded in achieving their goals and it will be more effective. objective: this study was designed with the purpose of determining the relationship between managers competency and hospital efficiency in teaching hospital of tehran university of medical sciences durin...

BACKGROUND Roemer's Law, a widely cited principle in health care policy, states that hospital beds that are built tend to be used. This simple but powerful expression has been invoked to justify Certificate of Need regulation of hospital beds in an effort to contain health care costs. Despite its influence, a surprisingly small body of empirical evidence supports its content. Furthermore, known...

As I am driving to work, the local radio headlines tell me that our hospital has over 30 empty beds in intensive care unit. Strange, that—as it was a struggle for us any new critically ill patients yesterday. Staff sickness, combined with covid-19, and on top of usual demands day-to-day life, meant tough shift. Still, something major must have happened 12 hours since left, as we now apparently ...

Background and objectives: The development and distribution of hospital beds, regardless of effective factors, may downgrade equity in access to health services through imposing costs of inefficiency. This study aimed to develop a hospital bed distribution model in Iran in order to facilitate the optimal and cost-effective development and distribution of hospital beds. Methods: This descriptiv...