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What Is the “Right” Number of Hospital Beds for Palliative Population Health Needs?

1
Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada
2
Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R7, Canada
3
School of Nursing, University of Navarra, 31008 Pamplona, Spain
*
Author to whom correspondence should be addressed.
Societies 2018, 8(4), 108; https://doi.org/10.3390/soc8040108
Received: 27 September 2018 / Revised: 17 October 2018 / Accepted: 23 October 2018 / Published: 2 November 2018
(This article belongs to the Special Issue The Socio-Political Context of Death and Dying)
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PDF [188 KB, uploaded 2 November 2018]

Abstract

Healthcare services are one of the twelve determinants of population health. While all types of healthcare services are important, timely access to hospital-based care when needed is critical. For three decades, long waits and wait lists for hospital admission and inpatient care have been a concern in Canada. Undersupply of hospital beds to meet population needs may be the cause of this as hospitals were downsized due to government funding cutbacks and hospital expansion has not occurred since despite population growth and aging. The availability of hospital beds for palliative population health needs may therefore be an issue, particularly as longstanding concern exists about terminally-ill and dying people being frequently admitted to hospital and having long hospital stays. A decline in hospital deaths in many developed countries, including Canada, could indicate that palliative population needs for hospital-based care are not being met. This paper compares the number of hospitals and hospital beds that exist in 9 Canadian provinces and 15 developed countries in relation to population and spatial considerations in an attempt to determine an optimal number of hospital beds for the general public and thus also palliative population health needs. Methods: Document analysis. Publicly-available hospital, population, and geographic information was sought for 9 Canadian provinces and 15 developed countries and compared. Results: Major differences in citizen to hospital bed ratios and citizen to hospital ratios across provinces and countries were found. The availability of hospitals and hospital beds clearly varies. Conclusion: Some regions may have too few hospitals and hospital beds to meet the palliative and other care needs of their citizens. Sufficient beds should exist so necessary admissions to hospital can occur without harmful delay. View Full-Text
Keywords: hospital; accessibility; benchmarking; indicators; palliative hospital; accessibility; benchmarking; indicators; palliative
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Wilson, D.M.; Brow, R.; Playfair, R.; Errasti-Ibarrondo, B. What Is the “Right” Number of Hospital Beds for Palliative Population Health Needs? Societies 2018, 8, 108.

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