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Show Utilization Patterns for Utah Community Hospitals From 1984 to 1995, community hospitals in Utah experienced a dramatic shift in utilization of inpatient and outpatient services. Inpatient hospital utilization, measured by the number of hospital admissions and inpatient hospital days, has declined substantially. The number of hospital admissions in Utah dropped by 10%, even as Utah's population increased by 18%. Hospital days decreased by approximately 20% in the same time period, indicating that both admissions and length of stay have lessened. As the use of inpatient hospital services in Utah has declined, use of outpatient services has exploded. In a decade, the number of outpatient visits increased by 243%. Table 108. Utilization of Inpatient and Outpatient Services Hospital Hospital Outpatient Year Admissions % of 1984 Days % of 1984 Visits % of 1984 1984 190,363 100.0 978,055 100.0 1,331,085 100.0 1985 185,601 97.5 940,826 96.2 1,333,626 100.2 1986 180,736 94.9 933,103 95.4 1,578,026 118.6 1987 175,429 92.2 925,301 94.6 1,788,988 134.4 1988 173,332 91.1 933,643 95.5 2,066,656 155.3 1989 171,846 90.3 944,242 96.5 2,171,139 163.1 1990 175,472 92.2 944,509 96.6 2,370,529 178.1 1991 179,264 94.2 939,724 96.1 2,767,029 207.9 1992 173,336 91.1 877,507 89.7 2,931,177 220.2 1993 173,552 91.2 856,010 87.5 3,001,797 225.5 1994 165,218 86.8 781,697 79.9 2,708,164 203.4 1995 170,745 89.7 800,052 81.8 3,240,113 243.4 Table 108. Sources: Utah Association of Health Care Providers: Operations Profile. 1994-1995: Utah Association of Health Care Providers (1997). Facts About Health Systems and Hospitals 1996. Salt Lake City:, p. 48. 1984-1994: Utah Association of Healthcare Providers (Oct 1995). Unpublished report based on data from American Hospital Association AHA Annual Survey. Salt Lake City:. Physicians per 100,000 Population For the years surveyed, both Utah and the U.S. have experienced a substantial increase in the number of active nonfederal physicians. However, Utah has approximately 19% fewer physicians per 100,000; this ratio between Utah and the U.S. has declined slightly between 1983 and 1996. Part of this difference may be explained by Utah's large number of frontier and rural counties and disparate population densities. Refer to "Health Provider Shortage Areas". Table 109. Physicians per 100,000 Population* Year Utah U.S. Utah:U.S. 1982 175 206 0.85:1 1983 178 212 0.84:1 1985 185 220 0.84:1 1986 189 225 0.84:1 1990 200 237 0.84:1 1992 209 249 0.84:1 1993 210 252 0.83:1 1994 205 252 0.81:1 1995 216 267 0.81:1 1996 217 271 0.80:1 ?Active, nonfederal physicians. Table 109. Sources: Utah 1995: American Medical Association (1997). Physician Characteristics and Distribution in the U.S.. 1996-1997 Edition. Utah 1996: American Medical Association (1997) Physician Characteristics and Distribution in the U.S.. 1997-1998 Edition. Table A-20. U.S. 1995-1996: American Medical Association (1997). Physician Characteristics and Distribution in the U.S.. 1997-1998 Edition. Table A-17. 1993-1994: American Medical Association (1995). Physician Characteristics and Distribution in the U.S.. 1995-96 Edition provided by the Utah Medical Association. 1982-1992: Utah Hospital Association (1993). Utah Hospital Fact Book 1993: A Profile of Health Care in Utah (8th ed.). Salt Lake City:, p. 22. 138 |