Comparative Efficiency Ratings Between Public And Private Acute Patient Facilities

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By May 11, 2015 No Comments

Authors: Malcolm Hugo, SA

Year: 2000

Event: 2000 TheMHS Conference


Type of resource: Conference Presentations and Papers

Abstract: The paper presents the results of a study completed last year which has been accepted for publication in the Australian and New Zealand Journal of Psychiatry in 2000. The study compared efficiency ratings of a public acute psychiatric inpatient unit in suburban Adelaide with other similar facilities. The index of efficiency (as derived from previous research) was calculated using Health of the Nation Outcome Scale (HoNOS) and length of hospital stay data. As was previously found, the public facility was found to be more efficient (using this index) than similar private inpatient facilities. Factors contributing to service efficiency, such as admission symptom severity, medico/legal status and service characteristics, are discussed.

The paper also presents an overview of the data collected over the past eighteen months following the implementation of an evaluation strategy to measure consumer outcomes in the North Western Adelaide Mental Health Services in both inpatient and community settings. This overview includes a critical analysis of the HoNOS as an evaluation instrument in applied settings (eg predictive validity, staff acceptance, application of findings) and addresses the relevance of outcome research in relation to evidence based practice.

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