Five Year Trend Analysis of a tertiary level Gynecological Hospital of Rajasthan: A cross sectional study
Abstract
Healthcare resources need to maintain pace with the increasing population and expectations. So this record based trend analysis was done from records of year 2005 to 2009 of a tirtiary care hospital of Rajasthan India. It was revealed from this study that OPD cases, IPD cases, total operations including major and minor operations, LSCS and total deliveries conducted were on increase trend with the time but sterilizations and MTPs were on decreased trend with the time. Maximum change was observed in MTP (-79.38%) followed by institutional deliveries (46.79%), IPD cases (37.44%), LSCS (29.8%), Minor operations (22.25%), minor operations (17.75%), OPD cases (5.57%) and sterilizations (-3.41%) but this change was towards downwards in MTP and sterilization otherwise it was on upwards in other variables.
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Introduction
India Health care delivery system of a country should be well managed to care the health of their people. In delivering health care heath institute's infrastructure is also important with its maximal utilization especially in developing country like India where resources are limited. Healthcare resources need to maintain pace with the increasing population and expectations. A hospital bed is a very important but limited healthcare resource. If public district hospitals remain underused, inefficient, and providing poor quality care may reflect deficiencies in the entire health system as well as at the hospital level.1
In an era of increasing population with consequent strain on resources it becomes imperative to utilize the suitable healthcare resources to the maximum possible extent. Given the disparity between the population and the available medical, surgical gynecological etc. facilities, availability of beds is the most important factor as hospital resources in any country. In India shortage of beds is indeed a huge problem considering that the average bed population ratio is 6.8:10000. 2 Moreover the cost of making available a new bed varies between Rs. 50,000 to Rs. 100,000 and then there are additional costs of maintenance to be considered so as well. 3 And scarcity of beds is further compounded by the underutilization of hospital resources. Hence efficient hospital management is necessary. For better hospital management hospital managers and administrators should know the flow of patients in various department with its trend.
Conclusion
It was revealed from this study that OPD cases, IPD cases, total operations including major and minor operations, LSCS and total deliveries conducted were on increase trend with the time but sterilizations and MTPs were on decreased trend with the time. Maximum change was observed in MTP followed by institutional deliveries, IPD cases, LSCS, Minor operations, minor operations, OPD cases and sterilizations but this change was towards downwards in MTP and sterilization otherwise it was on upwards in other variables.