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Depuis l'identification en decembre 2019 du coronavirus du syndrome respiratoire aigu severe 2 (SRAS-CoV-2) en Chine, on a repertorie plus de 850 000 cas confirmes de maladie a coronavirus 2019 [...], CONTEXTE : La hausse des cas de maladie a coronavirus 2019 (COVID-19) au Canada peut creer une forte demande de soins hospitaliers et de soins intensifs. Nous avons evalue la mesure dans laquelle l'isolement volontaire des personnes presentant des symptomes legers retarde le sommet epidemique et reduit la demande de soins dans chaque province canadienne. METHODES : Nous avons concu un modele de calcul et fait des simulations de la propagation de la COVID-19 dans chaque province. A partir des estimations des caracteristiques de la COVID19, nous avons evalue la demande de lits d'hopital et de lits de soins intensifs en l'absence d'isolement volontaire en supposant une moyenne de 2,5 cas secondaires, et avons compare des scenarios en faisant varier le taux d'isolement volontaire des cas legers 24 heures apres l'apparition des symptomes. RESULTATS : En l'absence d'isolement volontaire, l'epidemie atteindrait son sommet dans la premiere moitie de juin, et il faudrait en moyenne 569 jours-lits de soins intensifs par 10 000 habitants. Avec un taux d'isolement volontaire de 20 %, l'atteinte du sommet serait repoussee de 2 a 4 semaines, et la demande de lits diminuerait de 23,5 %; avec un taux de 40 %, le sommet serait repousse de 2 a 4 semaines supplementaires, et la demande de lits connaitrait une baisse de 53,6 %. En fixant le taux d'occupation actuel des lits de soins intensifs a plus de 80 % et le taux d'isolement volontaire a 40 %, la demande de lits demeure superieure au nombre de lits disponibles. INTERPRETATION : Au sommet de l'epidemie de COVID-19 au Canada, la demande de lits de soins intensifs excedera le nombre total de lits disponibles, meme avec un taux d'isolement volontaire de 40 %. Nos resultats montrent que la situation sera difficile pour le systeme de sante et que l'isolement volontaire pourrait reduire la demande de soins hospitaliers et de soins intensifs.

Byline: Jay GreeneThroughout emergency rooms in Southeast Michigan, there are patients in the midst of a psychological crisis -- and they're waiting, sometimes for days.And health care organizations report that [...]

New Delhi Crematoriums are burning so many pyres that they have run out of space and wood to keep up with demand. Vehicles filled with bodies queue outside the funeral [...]

Objectives. (1) To test whether public psychiatric bed reduction may increase suicide rates; (2) to investigate whether the supply of private hospital psychiatric beds--separately for not-for-profit and for-profit--can substitute for public bed reduction without increasing suicides; and (3) to examine whether the level of community mental health resources moderates the relationship between public bed reduction and suicide rates. Methods. We examined state-level variation in suicide rates in relation to psychiatric beds and community mental health spending in the United States for the years 19821998. We categorize psychiatric beds separately for public, not-for-profit, and for-profit hospitals. Principal Findings. Reduced public psychiatric bed supply was found to increase suicide rates. We found no evidence that not-for-profit or for-profit bed supply compensates for public bed reductions. However, greater community mental health spending buffers the adverse effect of public bed reductions on suicide. We estimate that in 2008, an additional decline in public psychiatric hospital beds would raise suicide rates for almost all states. Conclusions. Downsizing of public inpatient mental health services may increase suicide rates. Nevertheless, an increase in community mental health funding may be promising. Key Words. Deinstitutionalization, suicide, community mental health, privatization, psychiatric beds, Deinstitutionalization represents one of the most widespread changes in mental health policy. This process has led to the massive transfer of severely mentally ill persons out of institutional care in [...]

The various factors that lead to the overcrowding in the emergency department and hospital access block are discussed. Various solutions that will lead to proper management of hospital bedstock and systemic capacity are discussed.

Many hospitals face the problem of insufficient capacity to meet demand for inpatient beds, especially during demand surges. This results in quality degradation of patient care due to large delays [...]

Bed-blocking rise prompts round of finger-pointing The number of delayed hospital discharges is up again. Is it just a blip due to the flu epidemic, or is it part of [...]