A day hospital is an outpatient facility where patients attend for assessment, treatment or rehabilitation during the day and then return home or spend the night at a different facility. [1] Day hospitals are becoming a new trend in healthcare. [2] The number of surgical procedures carried out on a same-day basis has markedly increased in EU countries and USA. New medical technologies such as less invasive surgeries and better anesthetics have made this development possible. These innovations improve patient safety and health outcomes. Shortening the length of stay in hospital reduces the cost per intervention and increases the number of procedures performed. Less hospital beds are necessary, and they are often replaced by day hospital chairs that enable admission and preparation of the patient before surgery and recovery after surgery.
The patient groups most likely to receive this sort of hospital provision are elderly people, those with psychiatric problems, and those with physical rehabilitative needs. It is also used for some cancer treatments, as at New York's Memorial Sloan Kettering Cancer Center and London's UCH Macmillan Cancer Centre. Day hospitals were created during the soviet Union under Staline, they were imported to modern occidental countries after the second world war. In France, there are day hospitals specialized in psychiatric. Sick people have an appointment with a psychiatric physician once a month dor check up , to get drug prescription and talk. They are called "Hopital de jour" in french. For instance the day hospital of a french city has a medical service with 6 doctors , 12 nurses, 5 secretary, 7 social workers . The social service help the people to get free medical inssurance, to get a monthly income for those who can't work because of strong disability , to find a home for rent, to get a tutor who will manage the money for the people who spend a lot.
In the United Kingdom, day hospitals originated in the late 1950s with a focus on rehabilitation for frail older people, enabling many to remain in their own homes. [3] Comprehensive assessment and a range of specialised services have since been introduced. Day hospitals in the UK are normally run by an NHS trust and focus on therapeutic assessment and management, as distinct from "day care" facilities run by local authorities or voluntary agencies and offering social support. They may operate on a sessional basis rather than throughout the day, and may rotate between locations from day to day. [4]
Benefits have been identified in reduced rates of mortality and morbidity [5] and reduced inpatient admissions, although there is a lack of evidence for other benefits and cost-effectiveness. [6] [7]
Day hospital services are well established in the United States. [8] These services may be termed as "partial hospitalization" in some regions. [4]
Day hospital services for elderly people have existed in Sweden since the early 1950s and continue to expand, with 1,600 places in the country. Day hospitals are integrated with primary health care and social care. [9]
In Australia, many older people receive care in day hospitals, but for patients with psychiatric conditions day hospitals have largely been superseded by community mental health teams. [10]
Mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely. A mastectomy is usually carried out to treat breast cancer. In some cases, women believed to be at high risk of breast cancer have the operation as a preventive measure. Alternatively, some women can choose to have a wide local excision, also known as a lumpectomy, an operation in which a small volume of breast tissue containing the tumor and a surrounding margin of healthy tissue is removed to conserve the breast. Both mastectomy and lumpectomy are referred to as "local therapies" for breast cancer, targeting the area of the tumor, as opposed to systemic therapies, such as chemotherapy, hormonal therapy, or immunotherapy.
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions, to alter bodily functions, to reconstruct or improve aesthetics and appearance, or to remove unwanted tissues or foreign bodies. The subject receiving the surgery is typically a person, but can also be a non-human animal.
Ambulatory care or outpatient care is medical care provided on an outpatient basis, including diagnosis, observation, consultation, treatment, intervention, and rehabilitation services. This care can include advanced medical technology and procedures even when provided outside of hospitals.
Geriatrics, or geriatric medicine, is a medical specialty focused on providing care for the unique health needs of the elderly. The term geriatrics originates from the Greek γέρων geron meaning "old man", and ιατρός iatros meaning "healer". It aims to promote health by preventing, diagnosing and treating disease in older adults. There is no defined age at which patients may be under the care of a geriatrician, or geriatric physician, a physician who specializes in the care of older people. Rather, this decision is guided by individual patient need and the caregiving structures available to them. This care may benefit those who are managing multiple chronic conditions or experiencing significant age-related complications that threaten quality of daily life. Geriatric care may be indicated if caregiving responsibilities become increasingly stressful or medically complex for family and caregivers to manage independently.
The Institute of Mental Health (IMH), formerly known as Woodbridge Hospital, is a psychiatric hospital in Hougang, Singapore.
A hip fracture is a break that occurs in the upper part of the femur, at the femoral neck or (rarely) the femoral head. Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. Usually the person cannot walk.
Queensway Carleton Hospital (QCH) is a 355-bed hospital located in the west end of Ottawa, Ontario, Canada that delivers acute care and is west Ottawa's only full-service hospital.
Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or same-day surgery, is surgery that does not require an overnight hospital stay. The term “outpatient” arises from the fact that surgery patients may enter and leave the facility on the same day. The advantages of outpatient surgery over inpatient surgery include greater convenience and reduced costs.
Stobhill Hospital is located in Springburn in the north of Glasgow, Scotland. It serves the population of North Glasgow and part of East Dunbartonshire. It is managed by NHS Greater Glasgow and Clyde.
The Jersey City Medical Center is a hospital in Jersey City, New Jersey. The hospital has had different facilities in the city. It is currently located on a 15-acre campus at Grand Street and Jersey Avenue overlooking New York Harbor and Liberty State Park. The campus includes three facilities: the Wilzig Hospital, the Provident Bank Ambulatory Center, and the Cristie Kerr Women's Health Center. The hospital serves as a regional referral and teaching hospital.
University of Missouri Health Care is an American academic health system located in Columbia, Missouri. It's owned by the University of Missouri System. University of Missouri Health System includes five hospitals: University Hospital, Ellis Fischel Cancer Center, Missouri Orthopedic Institute and University of Missouri Women's and Children's Hospital — all of which are located in Columbia. It's affiliated with Capital Region Medical Center in Jefferson City, Missouri. It also includes more than 60 primary and specialty-care clinics and the University Physicians medical group.
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Spartanburg Regional Healthcare System(SRHS) is one of South Carolina's largest healthcare systems. SRHS draws patients primarily from the areas of Spartanburg, Cherokee, Union, and Greenville counties (all located in the Piedmont region of South Carolina), as well as Rutherford and Polk counties (located in western North Carolina). Spartanburg General Hospital was organized under the authority of the South Carolina General Assembly in 1917. It officially became the Spartanburg Regional Health Services District, Inc., a political subdivision of the State of South Carolina, by the charter granted by the Secretary of State of South Carolina on May 1, 1995.
St. Cloud Hospital is a hospital in St. Cloud, Minnesota, United States. It is a Catholic-affiliated, not-for-profit institution and part of CentraCare Health. The hospital has more than 9,000 employees, 400 physicians and 1,200 volunteers. It serves 690,000 people in a 12-county area.
The Anne Arundel Medical Center (AAMC) is a regional health system headquartered in Annapolis, Maryland. In addition to the main campus in Annapolis, the group has outpatient pavilions in Bowie, Kent Island, Odenton, Easton, and Waugh Chapel.
Frankston Hospital is a 454-bed public hospital located in the Melbourne suburb of Frankston in Victoria, Australia. It opened as the Frankston Community Hospital on 30 November 1941.
Case management is the coordination of community-based services by a professional or team to provide quality mental health care customized accordingly to individual patients' setbacks or persistent challenges and aid them to their recovery. Case management seeks to reduce hospitalizations and support individuals' recovery through an approach that considers each person's overall biopsychosocial needs without making disadvantageous economic costs. As a result, care coordination includes traditional mental health services but may also encompass primary healthcare, housing, transportation, employment, social relationships, and community participation. In the 1940s, this was known as social counseling. It is the link between the client and care delivery system.
St. Francis Hospital is a general medical and surgical hospital located in Columbus, Georgia, United States, and is accredited by the Joint Commission.
The Psychiatric Institute of Washington (PIW) is an acute psychiatric hospital in Washington, D.C. Opened in 1967, PIW is a short-term, private hospital. It offers behavioral healthcare to patients with mental and addictive illnesses, including children, adolescents, adults and the elderly. Services offered by PIW include inpatient, partial and intensive outpatient hospitalization, and group treatment programs for substance abuse and addiction.
Cancer rehabilitation has been defined in the scientific literature as a distinct field of medicine that focuses on reducing or eliminating side-effects of cancer treatment and improving survivors' strength, ability to function and quality of life