The Ministry of Health is publishing its General Inpatient Department Report for 2005-2014, which shows information on the general inpatient activity in the 2005-2014 decade, broken down by departments.

The Ministry of Health is publishing its General Inpatient Department Report for 2005-2014, which shows information on the general inpatient activity in the 2005-2014 decade, broken down by departments. The information is based on reporting to the hospitalization database of the Ministry of Health from 38 public and private hospitals, in which general inpatient departments operate. The purpose of the publication is to show various aspects of activity of the inpatient departments, indicate the hospitalization parameters for planning purposes and for use by policy makers. The publication was prepared at the Information Division of the Ministry of Health in accordance with the reported activity of inpatient departments of the hospitals.

Main findings:

  • In 2014 there were 1.2 million general hospitalizations and 1.1 general hospitalizations without obstetrics, representing an increase by 10% since 2005. In addition, there were 4.9 million inpatient days in general inpatient departments and 4.4 million inpatient days in general inpatient departments without obstetrics, an increase of 4% since 2005.
  • Half of the hospitalizations and inpatient days were in internal medicine, general surgery and obstetrics departments.
  • In 2014, the median age of general inpatients without obstetrics was 55 years, a decrease from 57 in 2005. The median age is higher in acute geriatrics, internal medicine, vascular surgery, intensive care, general intensive care, oncology, cardiothoracic surgery, ophthalmology, urology, neurochemistry, orthopedics, dermatology and venereology and neurology departments.
  • A fifth (21%) of hospitalizations and a third (30%) of inpatient days in general inpatient departments without obstetrics in 2014 were of persons aged 75 or old, an increase from 20% and 28% in 2005, respectively.
  • In 2014, the hospitalization day rate was 8.4 times higher at the age of 85 or older compared to the total rate and 5.3 times more at the age of 75-84. The hospitalization rate was 5.4 and 3.8 times higher, respectively, compared to the total rate.
  • The hospitalization rates is decreasing, the aged standardized general hospitalization rate without obstetrics dropped by 11% and the age standardized hospitalization day rate decreased by 18% in 2005-2014. The rate decreased for most ages and in most inpatient departments.
  • The hospitalization rate and the age standardized ¬inpatient day rate in general inpatient departments without obstetrics is higher for Clalit Healthcare members than for Maccabi and Meuhedet Healthcare members in 2014.
  • The median stay in general inpatient departments and in general inpatient departments without obstetrics was two days, a stable rate in the last decade.
  • The date of brief hospital admissions lasting up to one day, including hospitalizations of 0-1 nights, increased from 35% in 2005 to 40% in 2014, in general inpatient departments without obstetrics. The short hospitalizations constitute most of the hospitalizations in the holding department, about two thirds in ophthalmology, gynecology and general surgery departments and half of hospitalization in pediatric surgery.
  • In 2014, 16% of hospitalizations in general inpatient departments s without obstetrics were repeat hospitalizations within 30 days of discharge from hospital, the percentage of repeat hospitalizations is relatively in the last decade. The percentage increased with age, 24% at the age of 85 and older. The percentage is high in oncology departments (41%), general intensive care (27%), obstetrics (23%), internal medicine, bone marrow transplantation (22%), acute geriatrics (19%) and in cardiothoracic surgery (18%).
  • In 2014, about a quarter (28%) of all hospitalizations in general inpatient departments without obstetrics were with a surgical procedure during the stay. In private hospitals, the percentage was higher, at more than two thirds.
  • In 2014, two thirds (68%) of hospitalizations in general inpatient departments without obstetrics were urgent hospitalizations that were admitted directly from the Department of Emergency Medicine, 76% of all hospitalizations at public hospitals.