Financial Efficiency Of Day Care Versus Hospitalization

Day hospitalization/day care is a service of which can benefit all patients that require thorough investigations to make the diagnosis of a disease, for monitoring chronic diseases, preoperative exploration, microsurgical interventions, postoperative inspections, that cannot be performed in ambulatory. Services required for the diagnosis, treatment or monitoring the patient which are carried out in a day care regime may have plurispecialized and/ or multidisciplinary character, may be invasive, may be followed by side effects or risk of emergency while performing them or correlated with the health condition of the patient, requiring medical supervision that cannot be carried out in ambulatory. Day hospitalization is a modern concept within which, through advanced medical technologies, a series of medical procedures can take place during a single day. Day hospitalization services have the advantage of providing patients the opportunity to perform in a reduced time (within 12 hours) all necessary investigations, no longer requiring continuous hospitalization. Hospital medical assistance under continuous hospitalization regime includes acute type care and chronic type care , and factors which must be taken into account cumulatively when taking the decision of hospitalization under a continuous hospitalization regime are: the severity of signs and symptoms presented by the patient, medical predictability of a negative evolution, unwanted of the patient, the need and availability of the analysis / diagnostic investigations, depletion of diagnostic and therapeutic resource in other areas of healthcare. A comparative study was conducted day hospitalization - continuous hospitalization, the three most common diagnoses of the hospitalized patients in day hospitalization: poorly controlled diabetes type 1 and 2 , essential hypertension. The study was conducted within the period 01.01.2015-31.12.2015 in clinical sections of Cardiology and Diabetes of the Clinical Emergency County Hospital Oradea. The aim of the study is to highlight the financial efficiency of day hospitalization compared to continuous hospitalization.