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Abstract \H th a popul.J. tion expnnding f : __ :; cer· tl1ru1 the number of hospital beds, :”~ bed sho:ctc-;.ge o:c inclei”inite duration confronts the ~eaical profession. This problem is rapidly intensified as recent legislation is put into effect. Yiays must be soush t to achieve more efficient use of ti1e existing hospital beds, many of whicll are occupied for administrative reasons only, ambulatory patients are often admi ttecl to the hospital for :01inor surgery e i ti1er because their insurance cove:;.·s them only if they are treated in the hospital or because they require ”major” anaesthesia and the hospi t:J.l 1 s rules require their admission r.s inp::1tients. These practices militate a;>;ainst tile economic and efficient use of e;:isting becls. 1fficient use of hospital beds, iE’ fm·tller hrunpereu b~- t11e regulation c’” :.teen” insur.-1:1ce carr ie~’s thlt t requires :J.dmission to the lws: i tal for a minir,1WL1 of 18 hours, Vlith the paradoxical loss of poE~ible savings to patients or insurance company. The insurance compa.nies I\:eep their profits level by increasing premiums, but they may price themselves out of tlle ’narket and c,c.u:oe government intervention in their premium scructures. (.U,~vid /..: Col1en 1966). |