Analysis of Long-Term Dynamics of Performance Indicators for Regional 24-Hour Inpatient Facilities

Introduction. Efficient use of bed capacity is a key element in improving the quality and accessibility of inpatient care. The “bed turnover” indicator reflects the intensity of bed utilization and is included among the indicators of national healthcare projects. The purpose is to analyze trends in the main performance indicators of 24-hour inpatient facilities in the Tyumen Region from 2013 to 2023 and to identify the determinants of changes in bed turnover. Materials and methods. A retrospective study was conducted using official statistical data from the Tyumen Region Department of Health and the Tyumen Regional Medical Information and Analytical Center (MIAC). Trends were assessed by absolute and relative changes; associations were examined using Spearman’s rank correlation (p<0.05). Results and conclusion. From 2013 to 2019, bed availability rate per 10 000 patients decreased from 66.1 to 59.3 (–10.29%), average length of stay declined from 10.11 to 9.84 days (–2.67%), and bed turnover increased from 33.1 to 34.0 (+2.72%). During the COVID-19 pandemic (2020–2021), average length of stay rose to 10.10 days and turnover fell to 33.3; by 2021 the turnover had recovered, rising up to 35.9. By the end of 2023, length of stay reached 8.8 days and bed turnover peaked at 38.4 patients. Correlation analysis revealed a strong negative association of bed turnover with both lengths of stay and bed availability and a positive association with bed occupancy and in-hospital mortality. Over the decade, the Tyumen Region increased bed utilization intensity: bed turnover rose by 16%, while average length of stay fell by 12%. The main drivers of these changes were reduced treatment durations and optimization of bed numbers.><0.05). Results and conclusion. From 2013 to 2019, bed availability rate per 10 000 patients decreased from 66.1 to 59.3 (–10.29%), average length of stay declined from 10.11 to 9.84 days (–2.67%), and bed turnover increased from 33.1 to 34.0 (+2.72%). During the COVID-19 pandemic (2020–2021), average length of stay rose to 10.10 days and turnover fell to 33.3; by 2021 the turnover had recovered, rising up to 35.9. By the end of 2023, length of stay reached 8.8 days and bed turnover peaked at 38.4 patients. Correlation analysis revealed a strong negative association of bed turnover with both lengths of stay and bed availability and a positive association with bed occupancy and in-hospital mortality. Over the decade, the Tyumen Region increased bed utilization intensity: bed turnover rose by 16%, while average length of stay fell by 12%. The main drivers of these changes were reduced treatment durations and optimization of bed numbers.

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