Sunday 15 February 2009

176) Growth of consultations and surgery in NHS Hospitals

Press release from the Ministry of Health
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Growth of external consultation and surgery in five
specialties in NHS hospitals - 2004-2006
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External consultation
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Between 2004 and 2006, hospital consultations for the whole of the NHS (national health service, SNS in portuguese), grew 9.8% in the first consultation to grow 8.8% in that period. Examined, in particular, the development of consultations in ophthalmology, gynecology / obstetrics, Dentistry, Cardiology and Orthopedics (the specialties listed in the media as the target of "increasing privatization).
In all specialties there is an increased production of the NHS. However, with the exception of Cardiology, in all the growth is below the average growth of total consultations in the NHS in the period 2004-2006.
1) In ophthalmology, there is an increase in consultations in the period, from 7.5%, lower than the total of the NHS (all specialties). For the first consultation, the increase was only 2.8% in 2 years, contrasting with the increase of 8.8% of total first consultations in NHS. In relative terms, therefore, access worsened this specialty.
2) In obstetrics / gynecology, the total increase in 2 years in question was 4.22% and there was an improvement on the access, because the increase in first consultations took place at a rate of 7.7% (lower in but the average of the first of the total NHS consultation, which was 8.8%).
3) In Dentistry, the average increase was 7.53% and there was an improvement on the first of access consultations, which grew 11.02% in 2 years (more intense, therefore, than for the total SNS). However, paragraph first total consultations in 2006 (35.949) is still very low compared to the needs of the population.
4) Cardiology presents itself as the only case of evolution of the 5 studied: increasing the total queries than the NHS in 2 years and growth in first queries (13.88%) more than the consultations of the total (11.85% ).
5) In Orthopedics, as in ophthalmology, it is clear that in terms of access worsened in this specialty. There was an increase in consultations in the period, from 7.2%, lower than the total of NHS (9.8%). For the first consultation, the increase was 4.8% in 2 years, contrasting with the increase of 8.8% of total first consultations in NHS.
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Surgery
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Between 2004 and 2006, the surgical interventions for the whole of the NHS, increased 5.4%. Examined, in particular, the evolution of surgery for ophthalmology, gynecology / obstetrics, Dentistry, and Orthopedics (the specialties listed in the media as the target of "increasing privatization).
In all specialties there is an increased production of the NHS in the period, and higher than the average for the NHS (except for the particular case of obstetrics): Optical with 13.7% in 2 years under review, gynecology / obstetrics at 6, 7%, Dentistry with 24.3% (total of very small surgical interventions) and Orthopedics with a growth of 11.9%.

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