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Admitted Patient Care 2017–18: Admitted Patient Care 2017–18: Admitted Patient Care 2017–18 Stronger evidence, better decisions, improved health and welfare Admitted patient care 2017–18: Admitted patient care 2017–18 Australian hospital statistics Australian hospital statistics In 2017–18, there were more than 11.3 million admissions to hospital—6.7 million in public hospitals and 4.5 million in private hospitals. Between 2013–14 and 2017–18, the total number of hospital separations rose by 3.8% on average each year—by 4.2% for public hospitals and by 3.3% for private hospitals. aihw.gov.au Stronger evidence, better decisions, improved health and welfare Health Services Series Number 90 Admitted patient care 2017–18 Australian hospital statistics Australian Institute of Health and Welfare Canberra Cat. no. HSE 225 The Australian Institute of Health and Welfare is a major national agency whose purpose is to create authoritative and accessible information and statistics that inform decisions and improve the health and welfare of all Australians. © Australian Institute of Health and Welfare 2019 This product, excluding the AIHW logo, Commonwealth Coat of Arms and any material owned by a third party or protected by a trademark, has been released under a Creative Commons BY 3.0 (CC-BY 3.0) licence. Excluded material owned by third parties may include, for example, design and layout, images obtained under licence from third parties and signatures. We have made all reasonable efforts to identify and label material owned by third parties. You may distribute, remix and build upon this work. However, you must attribute the AIHW as the copyright holder of the work in compliance with our attribution policy available at www.aihw.gov.au/copyright/. The full terms and conditions of this licence are available at http://creativecommons.org/licenses/by/3.0/au/. This publication is part of the Australian Institute of Health and Welfare’s Health Services Series. A complete list of the Institute’s publications is available from the Institute’s website www.aihw.gov.au. ISSN 978-1-76054-534-5 (Online) ISSN 978-1-76054-535-2 (Print) ISBN 2206-5547 (Online) ISBN 1036-613X (Print) Suggested citation Australian Institute of Health and Welfare 2019. Admitted patient care 2017–18: Australian hospital statistics. Health services series no. 90. Cat. no. HSE 225. Canberra: AIHW. Australian Institute of Health and Welfare Board Chair Chief Executive Officer Mrs Louise Markus Mr Barry Sandison Any enquiries relating to copyright or comments on this publication should be directed to: Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601 Tel: (02) 6244 1000 Email: [email protected] Published by the Australian Institute of Health and Welfare This publication is printed in accordance with ISO 14001 (Environmental Management Systems) and ISO 9001 (Quality Management Systems). The paper is sourced from sustainably managed certified forests. Please note that there is the potential for minor revisions of data in this report. Please check the online version at www.aihw.gov.au for any amendments. Contents Summary ..............................................................................................................................vi 1 Introduction ...................................................................................................................1 1.1 What’s in this report? ................................................................................................1 1.2 What data are reported? ...........................................................................................3 1.3 What methods are used? ..........................................................................................5 1.4 Additional information ...............................................................................................6 2 How much activity was there? ...................................................................................... 8 Key findings .....................................................................................................................8 2.1 Separations ..............................................................................................................9 2.2 Separation rates ..................................................................................................... 13 2.3 Patient days ............................................................................................................ 15 2.4 Patient day rates ..................................................................................................... 17 2.5 Length of stay ......................................................................................................... 18 2.6 Performance indicator: Average length of stay for selected AR-DRGs .................... 20 2.7 What types of public hospitals provide admitted patient care? ................................ 22 2.8 Separations for acute admitted patient care ............................................................ 23 3 Who used these services? .......................................................................................... 27 Key findings ...................................................................................................................27 3.1 Age group and sex.................................................................................................. 28 3.2 Aboriginal and Torres Strait Islander people ........................................................... 31 3.3 Remoteness area ................................................................................................... 34 3.4 Socioeconomic status ............................................................................................. 35 4 Why did people receive care? .................................................................................... 36 Key findings ................................................................................................................... 36 4.1 Mode and urgency of admission ............................................................................. 37 4.2 Care type ................................................................................................................ 43 4.3 Principal diagnosis .................................................................................................. 46 4.4 How many separations were due to injury and poisoning? ...................................... 52 4.5 Performance indicator: Waiting for residential aged care ........................................ 56 5 What services were provided? ................................................................................... 58 Key findings ................................................................................................................... 58 5.1 Broad category of service ....................................................................................... 59 5.2 Diagnosis related groups ........................................................................................ 62 iii 5.3 Intensive care .......................................................................................................... 66 5.4 Newborn care ......................................................................................................... 69 5.5 Rehabilitation care .................................................................................................. 79 5.6 Palliative care ......................................................................................................... 87 5.7 Mental health care .................................................................................................. 92 5.8 How was care completed? ...................................................................................... 99 6 What interventions were performed? ....................................................................... 100 Key findings ................................................................................................................. 100 6.1 Overview of interventions ...................................................................................... 101 6.2 How does Australia compare? .............................................................................. 106 6.3 Performance indicator: Differential access to hospital procedures ........................ 110 6.4 Emergency surgery ............................................................................................... 113 6.5 Elective surgery .................................................................................................... 122 6.6 Elective surgery in public hospitals ....................................................................... 131 7 Costs and funding ..................................................................................................... 144 Key findings ................................................................................................................. 144 7.1 What was the relative cost of the care? ................................................................ 145 7.2 Who paid for the care? ......................................................................................... 150 7.3 How much care was contracted between hospitals? ............................................. 153 8 Information related to safety and quality of the health system .............................. 154 Key findings ................................................................................................................. 155 8.1 Patient experience
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