title: [Trends in ambulatory surgical procedures in Catalonia (Spain), 2001-2011].
abstract: OBJECTIVE
  To analyse the trend in ambulatory surgery procedures in Catalonia (Spain) hospitals with regard to the activity in inpatient care units and structural resources in surgery.
  
  
  METHODS
  A descriptive study was performed using data from the Statistics of Health Facilities with Inpatient Care of the Health Department of the Catalan Government from 2001 to 2011. Data from acute care hospitals were analysed and were classified in public and private hospitals.
  
  
  CONCLUSIONS
  The percentage of ambulatory surgical procedures increased by 63.2% and the percentage of inpatient surgery decreased by 23.5% (this trend was more pronounced in public hospitals). This result coincided with a decrease of structural resources in surgery (beds and operating rooms) and with an improvement in inpatient surgical activity (a decrease in the mean length of stay and bed occupancy rate in all hospitals). Structural surgery resources were optimized and efficiency was improved in surgery inpatient care units.
authors.affiliation: Direcció General de Planificació i Recerca en Salut, Departament de Salut de la Generalitat de Cataluña, Barcelona, España. Electronic address: francesca.vergara@gencat.cat.
authors.forename: Francesca
authors.initials: F
authors.lastname: Vergara
authors.affiliation: Direcció General de Planificació i Recerca en Salut, Departament de Salut de la Generalitat de Cataluña, Barcelona, España.
authors.forename: Adriana
authors.initials: A
authors.lastname: Freitas Ramírez
authors.affiliation: Direcció General de Planificació i Recerca en Salut, Departament de Salut de la Generalitat de Cataluña, Barcelona, España.
authors.forename: Rosa
authors.initials: R
authors.lastname: Gispert
authors.affiliation: Direcció General de Planificació i Recerca en Salut, Departament de Salut de la Generalitat de Cataluña, Barcelona, España.
authors.forename: José J
authors.initials: JJ
authors.lastname: Coll
authors.affiliation: Direcció General de Planificació i Recerca en Salut, Departament de Salut de la Generalitat de Cataluña, Barcelona, España.
authors.forename: Esteve
authors.initials: E
authors.lastname: Saltó
authors.affiliation: Servicio de Calidad y Seguridad Clínica, Hospital Clínico de Barcelona, Barcelona, España.
authors.forename: Antoni
authors.initials: A
authors.lastname: Trilla
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000639:trends*; D001509:Bed Occupancy / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013030:Spain
keywords: Ambulatory surgical procedures; Bed occupancy; Estancia media; Hospitalización; Hospitalization; Length of stay; Procedimientos quirúrgicos ambulatorios; Índice de ocupación