How many hospitals are there in the United States. What types of hospitals exist in the U.S. healthcare system. How many hospital beds are available across the country. What are the admission rates for U.S. hospitals. How many rural and urban hospitals operate in America. What percentage of hospitals belong to healthcare systems.

Overview of U.S. Hospital Landscape in 2023

The American Hospital Association (AHA) provides valuable insights into the current state of hospitals across the United States through its annual survey. This comprehensive data collection offers a detailed snapshot of the healthcare infrastructure, covering various aspects such as hospital types, bed capacity, and admission rates.

As of 2023, the total number of hospitals in the United States stands at 6,129. This figure encompasses a diverse range of healthcare facilities, each serving specific roles within the broader medical ecosystem. Let’s delve deeper into the breakdown of these hospitals and explore the key statistics that shape the American healthcare landscape.

Types of Hospitals in the U.S. Healthcare System

The U.S. hospital system is composed of several categories, each with its own unique characteristics and operational models. Here’s a breakdown of the main hospital types:

• Community Hospitals: 5,157
• Nongovernment Not-for-Profit Community Hospitals: 2,978
• Investor-Owned (For-Profit) Community Hospitals: 1,235
• State and Local Government Community Hospitals: 944
• Federal Government Hospitals: 206
• Nonfederal Psychiatric Hospitals: 659
• Other Hospitals: 107

Community hospitals form the backbone of the U.S. healthcare system, accounting for the majority of facilities. These hospitals are defined as nonfederal, short-term general, and other special hospitals accessible to the general public. They include a wide range of specialized facilities, such as those focusing on obstetrics and gynecology, eye, ear, nose, and throat care, long-term acute care, rehabilitation, and orthopedics.

What distinguishes community hospitals from other types?

Community hospitals are characterized by their accessibility to the general public and their focus on providing a broad spectrum of medical services. Unlike federal hospitals or specialized long-term care facilities, community hospitals cater to the diverse healthcare needs of their local populations. They may include academic medical centers and teaching hospitals, as long as they meet the criteria of being nonfederal and short-term in nature.

Hospital Bed Capacity and Admission Rates

The total number of staffed beds across all U.S. hospitals amounts to 919,649. This figure provides a crucial indicator of the healthcare system’s capacity to accommodate patients requiring inpatient care. Of these, 787,987 beds are located within community hospitals, highlighting the significant role these facilities play in providing medical services to the population.

In terms of admissions, U.S. hospitals recorded a total of 34,011,386 patient admissions. Community hospitals accounted for the vast majority of these admissions, with 31,967,073 patients admitted to these facilities.

How do admission rates correlate with bed capacity?

The high number of admissions relative to the available bed capacity underscores the efficiency and turnover rates within U.S. hospitals. This data suggests that hospitals are operating at high capacity, with frequent patient turnover to accommodate new admissions. It’s important to note that these figures represent annual totals, and individual hospitals may experience fluctuations in occupancy rates throughout the year.

Rural vs. Urban Hospital Distribution

The distribution of hospitals between rural and urban areas is an important aspect of healthcare accessibility. According to the AHA data:

• Number of Rural Community Hospitals: 1,800
• Number of Urban Community Hospitals: 3,357

This distribution reflects the demographic and geographical realities of the United States, with a higher concentration of hospitals in urban areas where population density is greater. However, the significant number of rural hospitals plays a crucial role in ensuring healthcare access for residents of less densely populated regions.

What challenges do rural hospitals face compared to their urban counterparts?

Rural hospitals often contend with unique challenges, including smaller patient populations, limited resources, and difficulties in attracting and retaining specialized medical professionals. Despite these obstacles, rural hospitals are essential for providing timely medical care to communities that might otherwise face long travel times to reach healthcare facilities. The continued operation of these hospitals is vital for maintaining equitable healthcare access across the country.

Hospital System Affiliations

An increasing trend in the healthcare sector is the affiliation of hospitals with larger healthcare systems. The AHA data reveals that 3,514 community hospitals are part of a system. This represents a significant portion of the total community hospitals, indicating a strong move towards consolidation and integration within the healthcare industry.

How does system affiliation benefit hospitals and patients?

Hospital system affiliations can offer numerous advantages, including:

1. Improved resource sharing and allocation
2. Enhanced purchasing power for medical supplies and equipment
3. Standardization of best practices across multiple facilities
4. Greater ability to invest in advanced technologies and treatments
5. Increased opportunities for specialization and referrals within the system

For patients, these affiliations can potentially lead to more comprehensive and coordinated care, especially when complex medical conditions require expertise from multiple specialties. However, it’s important to note that system affiliation does not preclude hospitals from participating in other networks or collaborations outside their primary system.

Specialized Hospital Facilities

Beyond general community hospitals, the U.S. healthcare system includes a variety of specialized facilities designed to address specific medical needs. Notable among these are the 659 nonfederal psychiatric hospitals, which play a crucial role in providing mental health services.

Additionally, the category of “Other Hospitals” encompasses 107 facilities, including nonfederal long-term care hospitals and hospital units within institutions such as prisons or school infirmaries. These specialized facilities often cater to patients with unique or prolonged care requirements that may not be adequately addressed in traditional short-term hospital settings.

How do specialized hospitals contribute to the overall healthcare ecosystem?

Specialized hospitals fill critical gaps in the healthcare system by providing focused care for specific conditions or populations. For instance, psychiatric hospitals offer dedicated mental health services, including inpatient treatment for severe mental illnesses. Long-term care hospitals cater to patients requiring extended medical attention, often for complex conditions that necessitate prolonged hospital stays.

By concentrating expertise and resources in specific areas of medicine, these specialized facilities can often deliver more targeted and effective care for their patient populations. This specialization complements the broader services offered by general community hospitals, creating a more comprehensive healthcare network capable of addressing a wide range of medical needs.

The Role of Government in Hospital Operations

Government involvement in hospital operations is significant, with both federal and local authorities playing crucial roles. The AHA data shows that there are 206 Federal Government Hospitals, which include facilities operated by entities such as the Veterans Health Administration and the Indian Health Service.

At the state and local level, 944 community hospitals are operated by government entities. These facilities often serve as safety-net providers, ensuring that healthcare services are available to underserved populations or in areas where private hospitals may not be economically viable.

How does government involvement impact healthcare delivery and access?

Government-operated hospitals serve several important functions within the healthcare system:

• Providing care for specific populations, such as veterans or Native American communities
• Ensuring healthcare access in underserved or economically challenged areas
• Supporting public health initiatives and emergency preparedness
• Offering a baseline of services that may not be profitable but are essential for community health
• Conducting research and training programs that benefit the broader medical community

The presence of government hospitals helps to create a more balanced healthcare ecosystem, complementing the services offered by private and non-profit institutions. This diversity in hospital ownership and operation models contributes to the resilience and adaptability of the U.S. healthcare system as a whole.

Future Trends and Challenges in U.S. Hospital Care

As the healthcare landscape continues to evolve, U.S. hospitals face both opportunities and challenges. The trend towards system affiliations suggests a future where integrated healthcare networks become increasingly prevalent. This could lead to more streamlined care delivery and improved resource allocation, but it may also raise concerns about market concentration and its impact on healthcare costs and patient choice.

The distribution of hospitals between rural and urban areas remains a critical issue. As rural populations change and healthcare delivery models evolve, maintaining access to quality care in less densely populated regions will be an ongoing challenge. Telemedicine and other technological innovations may play a crucial role in bridging these geographic gaps.

What innovations are shaping the future of hospital care?

Several emerging trends are likely to influence the future of hospital care in the United States:

1. Increased adoption of artificial intelligence and machine learning in diagnostics and treatment planning
2. Expansion of outpatient and home-based care services to reduce reliance on traditional inpatient settings
3. Greater focus on preventive care and population health management to reduce hospital admissions
4. Implementation of value-based care models that emphasize outcomes over volume of services
5. Enhanced use of data analytics to improve operational efficiency and patient care quality

As these trends develop, hospitals will need to adapt their strategies and operations to meet changing patient needs and healthcare delivery paradigms. The ability to balance technological advancements with personalized, patient-centered care will be crucial for hospitals seeking to thrive in the evolving healthcare landscape.

The comprehensive data provided by the American Hospital Association offers valuable insights into the current state of U.S. hospitals and provides a foundation for understanding future trends. As the healthcare system continues to face new challenges and opportunities, this information will be essential for policymakers, healthcare providers, and researchers working to improve the quality and accessibility of hospital care across the nation.

Fast Facts on U.S. Hospitals, 2023

As the national voice and advocate for the nation’s hospitals and health systems, the American Hospital Association is committed to providing hospital statistics and data to support the field, including its annual survey of hospitals in the United States. Among other data points, the survey includes the number of government hospitals, the number hospitals in each state, and the number of hospital beds.

With American Hospital Association’s rich and growing set of data, we’re empowering hospitals, health systems and their business partners to discover new directions, set strategies and plan actions for success in today’s evolving health care landscape.

Data provided by over 6,200 hospitals and 400 health care systems

Featuring over 1,300 hospital data points directly from the source

1. Community hospitals are defined as all nonfederal, short-term general, and other special hospitals. Other special hospitals include obstetrics and gynecology; eye, ear, nose, and throat; long term acute-care; rehabilitation; orthopedic; and other individually described specialty services. Community hospitals include academic medical centers or other teaching hospitals if they are nonfederal short-term hospitals. Excluded are hospitals not accessible by the general public, such as prison hospitals or college infirmaries.
2. Other hospitals include nonfederal long term care hospitals and hospital units within an institution such as a prison hospital or school infirmary. Long term care hospitals may be defined by different methods; here they include other hospitals with an average length of stay of 30 or more days.
3. System is defined by AHA as either a multihospital or a diversified single hospital system. A multihospital system is two or more hospitals owned, leased, sponsored, or contract managed by a central organization. Single, freestanding hospitals may be categorized as a system by bringing into membership three or more, and at least 25 percent, of their owned or leased non-hospital pre-acute or post-acute health care organizations. System affiliation does not preclude network participation.

© 2023 by Health Forum LLC, an affiliate of the American Hospital Association

Updated May 2023

To learn more about how to purchase a license to the most recent AHA’s Annual Survey Database, email AHA Data & Insights at [email protected] or call 866-375-3633. If you are interested in a report with historical data for trend analysis, you can order AHA Hospital Statistics at the AHA online store. For further information, contact the AHA Resource Center at [email protected] or call (800) AHA-2626.

Use the map below to find individual hospitals in the U.S. Click on the “Go to AHA Guide Profile” link to see how many staffed beds are in a hospital.

Download the Fast Facts on U. S. Hospitals 2023 PDF

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Health Care: The Big Picture

Hospital Data

Trends in Overall and Non-COVID-19 Hospital Admissions

Newly available data shows that the rise in the number of COVID-19 cases in the fall of 2020 was accompanied by a decline in non-COVID-19 hospital admissions during that time period. Our analysis includes medical records data of hospital admissions through December 5, 2020 from the Epic Health Research Network and updates an earlier paper that analyzed hospital admissions data through August 8, 2020. These new data provide additional information to help assess the economic impact of the COVID-19 pandemic on hospitals and insurers and also adds to our understanding of the extent to which people are continuing to delay or forgo care nearly one year into the pandemic. We analyze trends in total hospital admissions and then separately analyze non-COVID-19 admissions both overall and by patient region, age, and sex. We calculate actual admissions as a share of total predicted admissions in 2020 based on trends from past years. Key findings include:

• Total hospital admissions dropped to 69.2% of predicted admissions during the week ending April 4, 2020—the lowest point in the year—before rising again and staying at or above 90% since June 2020. As of the week ending December 5, 2020, total admissions were at 94. 2% of what was predicted.
• The decrease in hospital admissions from March 8 to December 5, 2020 represent 8.5% of the total expected admissions for all of 2020.
• In November 2020, as COVID-19 cases surged, non-COVID-19 hospitalizations started to decline again and were about 80% of predicted hospitalizations by the end of the month. This suggests that people may once again be delaying or forgoing care due to the pandemic, in some cases likely due to hospital capacity constraints.

• Based on our data through the beginning of December, the more recent decline in non-COVID-19 admissions has been steepest in the Midwest and West. In both of those regions, non-COVID-19 admissions were at roughly 76% of predicted levels at the end of November, as COVID-19 cases were surging in many parts of those regions.

This new analysis is based on electronic medical record (EMR) data from Epic Health Research Network (EHRN) and includes all inpatient hospital admission volume from Dec 31, 2017 to December 5, 2020, involving patients who either were discharged or died as of January 13, 2021. Data are aggregated weekly and pooled from 34 health care organizations in the United States, representing 97 hospitals that span 26 states and cover 20 million patients. These states represent 73.0% of COVID-19 cases as of January 21, 2021 and also represent 76.7% of the U.S. population.¹ Predicted volume was calculated using historical data from Dec 31, 2017 to Jan 25, 2020.² COVID-19 admissions were identified as admissions with either a documented COVID-19 diagnosis (U07.01) or other respiratory diagnosis involving a patient who either had tested positive or presumptive positive for COVID-19 or received a COVID-19 diagnosis within 14 days of the admission.

Background and Prior Studies on 2020 Health Care Trends

Several recent studies show that, beginning in March 2020, social distancing measures, concerns over hospital capacity, and fears of contracting COVID-19 led to sharp declines in health care spending.³ Across all health care services, not including pharmaceutical drugs, expenditures were down 32% in April 2020 on an annualized basis, compared to April 2019. Spending on health care services has since increased and as of the third quarter of 2020, year-to-date health services spending was down by 2.4% (relative to year-to-date spending as of third quarter in 2019). Changes in year-to-date spending varied by type of service, with physician office revenue down 4.0% and hospital revenue down 1.7% by the third quarter of 2020 (relative to year-to-date spending as of third quarter in 2019).

A recent EHRN analysis of EMR data found similar patterns to those presented here for overall emergency department (ED) visits, with a sharp decline (down roughly 50% of predicted ED visit volume) followed by slight recovery that has still left overall ED visits at about 65-70% of predicted volume as of the beginning of December 2020.⁴ Further, breaking down ED visit patterns by specific conditions, it was found that trends in visits associated with more severe (i.e., historically more likely to be admitted) conditions, such as stroke and acute myocardial infarction, experienced a smaller decline in Spring 2020 and recovered more quickly to predicted levels as compared to visits related to less severe conditions, such as dermatitis and conjunctivitis. ⁵ Analysis of EMR data for breast, cervical, and colon cancer screenings showed an even sharper decline beginning in early March followed by an increase in screenings; even so, screening rates have remained far below 2019 levels.⁶ By mid-June, weekly volumes for these cancer type screenings remained roughly 30-35% lower than their pre-COVID-19 levels.

Findings

Trends in Overall Hospital Admissions

Our analysis of EMR data shows a precipitous drop in hospital admissions starting the week ending March 14, 2020, falling to a low of 69.2% of predicted admissions during the week ending April 4, 2020 (Figure 1)—soon after the March 13, 2020 national emergency proclamation. Admissions gradually began to increase soon after that date and, by July 4, 2020, admissions were back to approximately 95% of their predicted level and have hovered at around 93-95% in October and November.

Figure 1: Overall Admissions Decreased in March and April but Remained Above 90% Since June

The decrease in admissions between March 8 and December 5, 2020 account for 8. 5% of the total number of admissions predicted during the 2020 calendar year. If the number of admissions remained at about 94% of predicted admissions (as they were on December 5) through the end of 2020, total admissions would be 8.9% below the predicted volume for the entire year.

IMPLICATIONS FOR HOSPITAL FINANCES

This drop in admissions was not something that hospitals could have anticipated at the beginning of the year and the steep decline in admissions early in the pandemic may have been difficult for some hospitals to weather. Hospitals’ financial strength differs widely. One recent study found that the median hospital had enough cash on hand to pay its operating expenses for 53 days in 2018, but the 25th percentile hospital only had enough cash on hand for 8 days.⁷ Smaller hospitals, public hospitals and rural hospitals are among those most likely to face financial challenges in the wake of revenue loss related to COVID-19. Some of these hospitals may be at risk of closing or merging if they do not have the financial resources to make up for declines in revenue caused by the declines in admissions shown in our data.

Hospitals and other health care providers have qualified for various types of federal assistance during the coronavirus pandemic. However, much of this money was not initially targeted to safety net hospitals operating on narrow margins.⁸ Most notably, hospitals and other health care providers received grants from the $178 billion provider relief fund that is being distributed by the Department of Health and Human Services (HHS). Hospitals qualified for grants that were the equivalent to a minimum of 2% of revenue and on average received grants that amounted to about 5.6% of revenue.⁹ Hospitals that qualified for additional grants either qualified by seeing a high number of COVID-19 inpatients by June 10 or were children’s hospitals, rural hospitals and/or safety net hospitals. About $26 billion remains available for future grant allocations as of February 3, 2021.¹⁰

In the coronavirus stimulus bill that was signed into law on December 27, 2020, Congress specified that 85% of the remaining money must be used to reimburse providers for lost revenue or expenses caused by the coronavirus pandemic. ¹¹ It is not clear, however, how the drop in admissions translates into lost revenue for hospitals, which would depend on the type of admissions that were missed and which insurers paid for those admissions. Private insurers typically reimburse at higher rates than Medicare or Medicaid, and reimbursement widely varies by type of admission.¹²

Hospitals and other providers that participate in traditional Medicare were also eligible for loans through the Medicare Accelerated and Advance Payment Programs, which are designed to help hospitals facing cash flow disruptions during an emergency. About 80% of the $100 billion in loans went to hospitals.¹³ CMS began distributing the loans in March 2020. Repayment for the loans was originally set to begin in August, but Congress later delayed when repayments would begin and extended the period for repayment.¹⁴ Providers will now begin repaying the loans one year after their initial loan payment was received, meaning repayment should begin in March 2021.

In addition, Medicare has increased payments to hospitals by 20% for all COVID-19 inpatients during the current public health emergency. The Biden Administration has indicated the public health emergency will likely remain in place throughout 2021. The Congressional Budget Office originally estimated that this change will increase Medicare spending by about $3 billion.¹⁵ Hospitals may also be eligible for loans being distributed by the Treasury department, the Federal Reserve, and Small Business Administration.

IMPLICATIONS FOR INSURER FINANCES

Health insurers, in contrast, may be benefiting financially from this decline in hospital admissions and certain other medical services since the start of the pandemic. KFF analysis found that at the end of the third quarter of 2020 average gross margins for health insurers had increased compared to 2019 and 2018 across the individual market, group market, Medicare Advantage and Medicaid Managed Care markets. KFF’s analysis also examined trends in medical loss ratios, or the percent of premium income that insurers pay out in the form of medical claims. Generally, lower medical loss ratios mean that insurers have more income remaining after paying medical costs to use for administrative costs or keep as profits. Compared to the same period in 2019, average loss ratios through the third quarter of 2020 were lower across the individual market, group market, Medicare Advantage and Medicaid Managed Care markets.

Trends in Non-COVID-19 Admissions

We used EMR data from EHRN to look at overall trends in non-COVID-19 admissions and also specifically at non-COVID-19 admissions by patient sex, age and region. By looking specifically at non-COVID-19 admissions, we can more easily assess declines in the use of health care due to voluntary and mandatory delays in non-emergency care. Looking at overall trends, we found that non-COVID-19 admissions reached a low of 63.4% of predicted admissions for the week ending April 11, 2020 (Figure 2). By June 2020, non-COVID-19 admissions had increased and reached a high of 92.0% of predicted levels the week ending July 4, 2020—but dipped back down soon after COVID-19 admissions began to increase again in the fall and fell to approximately 80% of predicted levels by the week ending December 5, 2020.

Figure 2: Overall Non-COVID-19 Admissions Rebounded in the Late Spring But Started to Decline Again in November

Our analysis does not include specific diagnoses or procedures to assess which types of admissions had the steepest declines. Declines in certain types of admissions—such as car crashes—may be explained by changes in habits due to the coronavirus pandemic. However, as discussed earlier in this paper, declines in cancer screenings suggest that the overall decline in admissions is also a sign of patients delaying or foregoing preventive care and therefore not starting necessary treatments. Some cancer treatments were also delayed earlier in the pandemic,¹⁶ although those treatments may now have resumed in many cases. In other cases, hospitals have delayed or cancelled non-emergency procedures due to capacity constraints.¹⁷

Non-COVID-19 Admissions By Region

We examined how non-COVID-19 admission trends varied across geographic regions, using the regions defined by the U.S. Census Bureau. To give a sense of the geographic distribution of our dataset, admissions from the Northeast, Midwest, South, and West regions account for approximately 24%, 25%, 28%, and 23% of overall admissions, respectively. While all regions experienced a large drop in COVID-19 admissions early in the pandemic followed by a rebound, the smaller decline in non-COVID-19 admissions in November and early December 2020 has not been uniform across the country. Non-COVID-19 admissions for hospitals as a percent of predicted volume dropped from 85.5% to 76.0% in the Midwest and 84.3% to 75.7% in the West between the weeks ending November 7 and December 5, 2020 (Figure 3). During this same month, COVID-19 cases were surging in many parts of these regions. Hospitals in the South went from 87.8% of predicted non-COVID-19 volume to 82.3% during that same period. Meanwhile, hospitals in the Northeast had experienced the steepest decline in non-COVID-19 admissions early in the pandemic, but non-COVID-19 admissions remained at a higher level than other regions in the fall of 2020 and were at 91.2% of predicted volume the week ending December 5, 2020.

Figure 3: After A Steep Drop in Non-COVID-19 Admissions in the Spring, There Was Second Decline in the Midwest and West in the Fall

Non-COVID-19 Admissions by Age

We stratified the EHRN admissions data by age to assess trends in non-COVID-19 admissions for patients age 65 and older compared to younger patients. We found that admissions for patients age 65 and older was just 53.4-63.0% of predicted levels in April 2020, compared to 68.6-75.1% of predicted levels for younger patients (Figure 4). This may suggest that older patients, at a higher risk of serious illness or death due to COVID-19, were more reluctant than younger patients to enter a hospital if not absolutely necessary. Non-COVID-19 admissions rebounded more slowly for older patients compared to those who are younger, but by September both age groups reached about 88% of predicted admissions. In the week ending December 5, 2020, non-COVID-19 admissions dipped again to 81.5% of predicted admissions for patients under 65 and 79.2% for patients age 65 and older.

Figure 4: After an Early Steep Drop in Non-COVID-Admissions for Those Age 65 and Older, Their Admissions Later Increased

Non-COVID-19 Admissions by Sex

Non-COVID-19 admissions for both male and female patients dropped to approximately 65% of predicted admissions in April 2020 and then increased to roughly 85-90% of predicted admissions by the summer (Figure 5). In November, non-COVID-19 admissions for both males and females dropped slightly to about 80% of predicted admissions. On an absolute level, admissions for female patients remained about approximately 20% higher than for male patients (data not shown). Much of this differential is likely due to women’s admissions for childbirth.

Figure 5: Males and Females Had Almost Identical Patterns of Changes in Non-COVID-19 Admissions

Implications

This updated analysis from the Epic Health Research Network provides additional insights into patterns of hospital admissions during the COVID-19 pandemic—and the impact that trends in COVID-19 cases has on non-COVID-19 admissions. By looking at the patterns in non-COVID-19 admissions, we can see how changes in behavior had a differential impact by region, age, and sex. The levels of non-COVID-19 admissions seen in the fall of 2020 suggest that people may be delaying care in ways that could be harmful to their long-term health. The impact of that forgone care will be an important subject of future analysis.

Tyler Heist, Ph.D., and Sam Butler, M.D., are with the Epic Health Research Network. Karyn Schwartz, M.P.H., is with KFF.

Hospitalization / Patients / RCIB im. CM. Magomedova

Hospitalization of a citizen in the RCIB is carried out:

• on the direction of the attending physician of an outpatient or inpatient healthcare facility;
• in the direction of emergency medical care;
• in case of self-treatment of a patient with an infectious pathology according to emergency indications.

A citizen is obliged to comply with the internal regulations of the medical institution and the recommendations of the attending physician.

Rules and terms of hospitalization

1. Determination of medical indications for hospitalization of persons who applied for directions from health care institutions, independently or delivered by an ambulance team, is carried out by the doctor of the admission department in the process of examining and examining the patient. In diagnostically complex or controversial cases, the issue of the need for hospitalization is decided on a commission basis, with the participation of the head of the specialized department or the deputy head physician for the medical service.
2. In case of a categorical refusal of the patient himself from hospitalization if there are indications, he must certify his refusal by signing the refusal form in the presence of the doctor of the admission department, after receiving an explanation of the need for hospitalization and the consequences of refusal.
3. The patient or his legal representative, when applying to the hospital, submits the following documents to the medical staff of the admission department:

– referral for hospitalization in the prescribed form;

– passport of a citizen of the Russian Federation, residence permit in the Russian Federation, refugee certificate;

– a passport or other document replacing it, intended for foreign citizens or stateless persons to travel abroad, issued by the relevant authority of the state of nationality or habitual residence of a foreign citizen or stateless person, or by an international organization;

– health insurance policy.

4. Patients in need of emergency medical care and delivered from outside their place of residence can be hospitalized without the above documents, with the subsequent execution of all necessary medical documentation, for which the attending physician informs the patient’s family of the need to provide documents within 3 days identifying the patient.
5. The presence of an accompanying person is permitted during examination in the admissions department of an adult patient, contact with whom is difficult due to his serious condition or existing impairments of vision, hearing, mentality or movement.
6. The presence of accompanying persons is not allowed in dressing rooms, procedural, manipulation and other rooms with increased requirements of the sanitary and anti-epidemic regime.
7. Accompanying persons are allowed to participate and assist the medical staff of the admission department in transporting the patient for hospitalization in departments.
8. The need for hospitalization of relatives of the disabled is determined by the attending physician if the patient needs additional care.
9. When registering a patient for hospitalization in the admission department, things, money, valuables, documents of the patient are returned to the accompanying relatives. In the departments of the hospital, patients are allowed to wear home clothes, subject to its weekly change and home shoes (the rule does not apply to persons whose personal clothes need chamber processing). It is allowed to take personal hygiene items and utensils (toothbrush, paste, soap, toilet paper, handkerchiefs, towel, razor, cup, spoon, etc.) into the ward
10. In the admissions department, if necessary, sanitary or disinfestation treatment is performed (in case of widespread head lice, hair can be removed).
11. Upon treatment or admission of patients in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions; upon treatment or admission of patients with injuries resulting from a road traffic accident; upon admission of patients in an unconscious state; in case of treatment or admission of patients without documents, the employees of the admission department are obliged to inform the internal affairs authorities about the admission of such a patient.
12. Patients undergoing treatment, with their consent, may be examined and (or) consulted by employees of departments located on the basis of the hospital, with participation in examinations of students, graduate students, clinical residents.
13. Working hours of the attending physician of the department from 8.00 to 15:30. The time of examination of all patients undergoing treatment in the department is 8.30 – 13.00. First of all, severe patients are examined, then newly admitted and all remaining ones. From 13.00 to 15.00 examination of only newly arriving patients. After 15 hours 30 minutes, if the patient feels worse, the patient can be examined by the doctor on duty of the admission department to resolve issues of emergency and urgent care. The doctor of the admission department during the examination decides the need for an emergency consultation by narrow specialists, a resuscitator, questions of additional laboratory examinations.
14. Examination of patients by the head of the specialized department is mandatory on the day of admission, on the day of discharge; during treatment: 1 time in 10 days and as needed.
15. In the process of providing medical care, the doctor and the patient have equal rights to respect for their human dignity and can protect it in accordance with applicable law. The relationship between doctor and patient should be built on the basis of mutual trust and mutual responsibility. The patient is an active participant in the treatment process.
16. The doctor in exceptional cases has the right to refuse to work with the patient, entrusting him to another specialist, if it is impossible to establish therapeutic cooperation with the patient.
17. All medical interventions are performed only with the consent of the patient, except in special cases when the severity of the physical or mental condition does not allow the patient to make an informed decision, or in other cases provided for by law.
18. The patient is discharged from the hospital by the attending physician in agreement with the head of the department. Registration of an extract at the end of the working day of the attending physician in exceptional cases, on weekends and holidays, is carried out by the duty doctor of the admission department.
19. At the request of the patient or his legal representative, the patient may be discharged early (until the condition is cured or stabilized) only with the knowledge of the chief physician or his deputy for the medical unit, provided that the patient is fully informed about the danger of early discharge for his health. The application of the patient (or his legal representative) on his early discharge is filed in the medical record of the inpatient.
20. Temporary home leave of patients undergoing inpatient treatment at the RCIB and AIDS is prohibited.

Hospitalization – City polyclinic No. 17

Hospitalization rules

In a planned manner, the patient is referred by a polyclinic specialist. Planned hospitalization of patients is carried out daily from 09:00 to 16:00 in the admission department in accordance with the appointed date of hospitalization and time.

Before planned hospitalization at the pre-hospital stage (5 days before hospitalization), a mandatory laboratory study of the patient’s biological material (a swab from the nasopharynx and oropharynx) is carried out for the presence of a new coronavirus infection COVID-19, (including for accompanying persons).
The waiting time for the provision of specialized (except for high-tech) medical care, including for persons staying in inpatient social service organizations, should not exceed 14 working days from the date the attending physician issues a referral for hospitalization, and for patients with oncological diseases – 7 working days days from the moment of histological verification of the tumor or from the moment of establishing a preliminary diagnosis of the disease (condition)

Required documents for hospitalization:

1. Passport / for children under 14 years of age, birth certificate and passport of one of the parents (legal representative).
2. Compulsory health insurance policy (photocopy of both parties).
3. SNILS (pension insurance certificate).
4. Exact name of the organization (place) of work (if necessary, issue a certificate of incapacity for work).
5. Results of all laboratory, instrumental studies and conclusions of specialists with a stamp of a medical institution and a date of completion (according to the List).
6. Referral for hospitalization form 057у.
7. Nasal and oropharyngeal swab for the presence of a new coronavirus infection COVID-19 (including for accompanying persons).
8. Personal items (change of shoes and clothes, toiletries).

If it is necessary to take individual care of a child, a parent (legal representative) is admitted to the inpatient department with the results of the following studies and conclusions:

1.R. W. In case of positive results – the conclusion of an infectious disease specialist (valid for 3 months)
2. Chest x-ray or fluorography (valid for 10 months)

Upon admission, the patient gets acquainted with the informed consent to the provision of care. When the consent is signed by the patient, the patient is hospitalized. If the patient refuses to sign the consent, then he cannot be hospitalized. If the patient is unable to sign the consent (serious condition), the consent can be signed by the patient’s legal representative or the decision on hospitalization is made by a council of doctors.

Dear patients, we draw your attention!

The results of laboratory and instrumental studies, the conclusions of medical specialists must be valid by the appointed date of hospitalization!

Mandatory minimum examination volume for planned hospitalization, indicating the validity period of the examination results:

1. Complete blood count – 14 days
2.