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Show Utilization Patterns for Utah Community Hospitals From 1984 to 1994, community hopitals 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 more than 25% 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 226%. 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 3,002,797 225.6 1994 170,999 89.8 722,414 73.9 Health Care Plan Enrollment According to the Utah Association of Health Care Providers, more than half (57.3%) of all Utahns were enrolled in managed care plans in 1995. Managed care includes both health maintenance organizations (HMOs) and preferred provider organizations (PPOs). Traditional indemnity plans covered only 16.2% of Utahns; 11% of Utahns were uninsured, while the remainder utilized Medicare or Medicaid. Table 109. Utah Enrollment, 1995 Figure 61 % of Utah Type of Plan Population Managed Care: HMOs 30.2 Managed Care: PPOs 27.1 Indemnity 16.2 Medicare 8.8 Medicaid 6.6 Uninsured 11.0 Health Care Plan Enrollment in Utah, 1995 Medicare Uninsured 11% Medicaid Indemnity 16% HMO 30% Utah's Health: An Annual Review 1995 113 |
