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Hospital death rates in England 45% higher than in US
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Author:  pcernie [ Thu Sep 12, 2013 5:45 pm ]
Post subject:  Hospital death rates in England 45% higher than in US
http://www.theguardian.com/society/2013 ... -higher-us
Author:  cloaked_wolf [ Thu Sep 12, 2013 8:27 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
There is so much BS here that I think my head's gonna explode.

Look at who goes to hospital in America - basically the wealthy. They tend to be healthier and hence less likely to have problems. The American healthcare system will also overinvestigate you (either through generating more income or through medicolegal fears) and keep you in for doing so, whereas in this country, we tend to do a lot of investigations as outpatients. Essentially, we try to keep the sickest patients in hospital and try to get everyone else out.

Furthermore, America have one of the crappest mortality rates for a first world country. To me, this shows how much bias there is.

I would want the whole lot of figures disclosed - which hospitals were selected, the causes of death in those patients, etc.

Basically, I call this guy a liar and reckon there's something in his intentions. Maybe the guy has a hand in a healthcare company that's trying to crack into the NHS?
Author:  Amnesia10 [ Thu Sep 12, 2013 8:35 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
This only covers hospitals if you never make it to a hospital because of the lack of insurance in the US then the outcomes will not impact this report.
Author:  rustybucket [ Thu Sep 12, 2013 9:23 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
Given all the stories about bed-blocking and geriatric patients being too long in hospital, I'd be interested to see the hospital death rates compared with respect to age.

50p says that the median age of patients is significantly higher in England.
Author:  Amnesia10 [ Thu Sep 12, 2013 9:41 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
Bed blocking is primarily caused by problems in social services and very poor planning. When I was stuck in for a month in hospital I saw countless cases of incompetence in social services. One man was there waiting for a hand rail to be fitted to his home entrance, so he could go home. They did nothing until he was ready to be discharged. Then it took weeks to get it done. Part of the problem is that if someone is in hospital it is an NHS problem. The moment they come out it becomes a social services problem. So the strategy is to delay as much as possible to see if the patient pays for any changes required out of their state pension.
Author:  cloaked_wolf [ Thu Sep 12, 2013 10:36 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
^^^That drives me nuts. I've had patients who are waiting for social assessment/care package/physio etc but otherwise are medically fit sit in a bed for weeks at a time. In some ways, there's a huge downside to the closure of community hospitals where people like this went.
Author:  Amnesia10 [ Thu Sep 12, 2013 10:57 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
cloaked_wolf wrote:
^^^That drives me nuts. I've had patients who are waiting for social assessment/care package/physio etc but otherwise are medically fit sit in a bed for weeks at a time. In some ways, there's a huge downside to the closure of community hospitals where people like this went.

It drove me nuts. I mentioned it to my MP who came to visit me in the ward. There was one case of a man who had had a stroke and had to wait several days for a physiotherapist to visit. He should have been seen as fast as possible and given some simple exercises to help him recover as fast as possible. It would lower his odds of bed blocking as his recovery would have been better and faster. If they actually billed social services £1500 a day for bed blockers then it would force them to be more proactive.
Author:  big_D [ Fri Sep 13, 2013 7:35 am ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
After my heel operation in July, I was sent home after 2 days. They just wanted to see if I could stand up using crutches and hop across my room and back. Once inhad proven that, I was sent home. My fiancé went into hospital the next day, so I had to look after myself for the first couple of weeks.

I learned to be resourceful. In had a pouch around my neck, which I could put things in that I needed. But how do you get freshly cooked food from the cooker to the table? I just used a Tupperware pot. The same for washing up, how so you get dirty plates from the table to the sink, if you can't use your hands? I ate out of the Tupperware pots and put the dirty cutlery in the sealed pot to get it back to the sink in the pouch. Stairs was the hardest thing to do. Going up or down stairs was exhausting.

I also had to give myself daily anti-thrombosis injections.

Getting something like a handrail or a bathroom conversion done is usually very quick and they don't wait until you are better until they start the paperwork, they work in conjunction with the hospital or nursing home, so they know roughly when they have to be finished.
Author:  Amnesia10 [ Fri Sep 13, 2013 12:18 pm ]
Post subject:  Re: Hospital death rates in England 45% higher than in US
big_D wrote:
Getting something like a handrail or a bathroom conversion done is usually very quick and they don't wait until you are better until they start the paperwork, they work in conjunction with the hospital or nursing home, so they know roughly when they have to be finished.

That is what we should expect here as well. It is all too logical and saves money as well.

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