title: Hospitals then and now: changes since the start of Medicare.
abstract: Australia's current hospital system is very different to the one that existed in 1982-83, the last full year before the introduction of Medicare. Capped budgets, new technology and rising expectations have seen the public sector lose ground to the private sector, particularly in terms of elective admissions and surgical episodes. In comparing the situation in 2004-05 with that in 1982-83, this paper focuses on hospital efficiency, casemix and the public-private balance.
authors.affiliation: Information and Performance Section, Australian Government Department of Health and Ageing, GPO Box 9848, Canberra City, ACT. bill.nichol@health.gov.au
authors.forename: Bill
authors.initials: B
authors.lastname: Nichol
mesh_terms: D001315:Australia; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D017598:Efficiency, Organizational / Q000706:statistics & numerical data; D019538:Health Care Surveys; D005102:Health Expenditures / Q000706:statistics & numerical data / Q000639:trends; D017721:Hospital Costs / Q000706:statistics & numerical data / Q000639:trends; D006760:Hospitalization / Q000706:statistics & numerical data / Q000639:trends*; D016304:Hospitals, Private / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends*; D006779:Hospitals, Public / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D009313:National Health Programs / Q000706:statistics & numerical data / Q000639:trends*; D011787:Quality of Health Care / Q000639:trends