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Wilson, D.M. (Donna M.); Brow, R. (Ryan); Playfair, R. (Robyn); et al. "What is the “right” number of hospital beds for palliative population health needs?". Societies. 8 (108), 2018, 1 - 7
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.