29
Sep 2020
Overnight hospital stays becoming shorter and same-day hospitalisations increasing
Published in General on September 29, 2020
 
                                                            NOTE: Australian Institute of Health and Welfare (AIHW) staff are assisting other Government agencies, including the Department of Health, to monitor the COVID–19 (coronavirus) pandemic.
This is our top priority and some of the work we had planned for 2020 has been delayed. We are still releasing some reports and other data products, especially those which were close to completion prior to the pandemic or contain information which is time-sensitive for policy-makers and service-providers.
The information in this media release is for a time period before the 2019-20 Summer bushfires and the COVID–19 pandemic.
There were 11.5 million hospitalisations in Australia in 2018-19, up from 10.1 million in 2014-15, according to new information released by the Australian Institute of Health and Welfare (AIHW).
The latest MyHospitals update shows that hospital admissions rose by an average 3.3% per year between 2014-15 and 2018-19, double the population growth over the same period.
‘Hospital care has shifted away from overnight stays over recent years, with the average length of stay declining and a shift toward more same-day hospitalisations,’ said AIHW spokesperson Dr. Adrian Webster.
‘Same-day hospitalisations (where the patient does not stay overnight) have risen faster than overnight hospitalisations, largely due to increases in same-day stays for sub-acute and non-acute care.'
Sub-acute and non-acute care Includes rehabilitation, certain types of geriatric and maintenance care and palliative care.
Per 1,000 population, same-day hospitalisations rose, on average, 2.7% per year in public hospitals and 1.0% in private hospitals. In contrast, overnight hospitalisations rose, on average, 0.5% per year in public hospitals and fell 1.1% per year in private hospitals. The average length of stay in hospital decreased by an average of 0.8% per year from 5.5 days to 5.4 days.
Six in 10 admissions were to public hospitals in 2018–19 and publicly funded hospital admissions grew faster than admissions funded by private sources (3.7% average growth per year compared with 2.6%).
Between 2014-15 and 2018-19, emergency admissions increased at a higher rate than elective admissions in both public and private hospitals (3.9% average annual growth for public and 4.8% for private compared to 2.7% growth in public elective admissions and 2.0% growth in private elective admissions). In particular, the growth in emergency admissions involving surgery for complications related to Type 2 diabetes increased by 14% in the last 12 months.
The new data also shows that vaccine-preventable hospitalisations were 22% lower in 2018-19 than in 2017-18, following a spike in admissions due to influenza in 2017-18. However, overall admissions for potentially preventable hospitalisations increased during this period, driven by an increase in hospitalisations for complications related to diabetes.
 
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                    ![“Surprise Noises Can Feel Like Pain”: New Airport Rule Eases Travel for Autistic Passengers Emma Beardsley once dreaded going through airport security. “I used to panic every time they made me take my headphones off at security,” she recalls. “The noise and the unpredictability can be overwhelming.” Now, thanks to a new policy allowing noise-cancelling headphones to remain on during security checks, Beardsley says she can “travel more confidently and safely.”
In Australia, one in four people lives with a disability, yet the travel system has often failed to accommodate varied needs. Autism-inclusion advocates at Aspect Autism Friendly have welcomed the government’s updated guidelines that let autistic travellers keep their noise-reducing headphones on during screening, calling it a “major step” toward more accessible air travel.
Dr Tom Tutton, head of Aspect Autism Friendly, emphasises the significance of travel in people’s lives: it connects them with family, supports work and learning, and offers new experiences. But he notes the typical airport environment can be especially intense for autistic travellers:
“Airports are busy, noisy, random and quite confusing places … you’ve got renovations, food courts, blenders, coffee grinders, trolleys clattering … and constant security announcements. It’s really, really overwhelming.”
“What might be an irritation for me is something that would absolutely destroy my colleague [who has autism]. Surprise noises of a certain tone or volume can genuinely be experienced as painful.”
Under the new policy — now published on the Australian Government’s Department of Home Affairs website — passengers who rely on noise-cancelling headphones as a disability support may request to wear them through body scanners. The headphones may undergo secondary inspection instead of being forcibly removed.
Dr Tutton describes this adjustment as small in procedure but huge in impact: it removes a key point of sensory distress at a critical moment in the journey. Aspect Autism Friendly is collaborating with airports to ensure that all security staff are informed of the change.
For many autistic travellers, headphones aren’t just optional — they are essential to navigating loud, unpredictable environments. Until now, being required to remove them during security has caused distress or even deterred travel.
Aspect Autism Friendly also works directly with airports, offering staff training, autism-friendly audits, visual stories, sensory maps, and other accommodations. Their prior collaborations include autism-friendly initiatives with Qantas. Dr Tutton notes:
“Airports have become this big focus for us of trying to make that little bit of travel easier and better.”
He advises people planning trips for travellers with disabilities to consult airport websites ahead of time. Some airports already offer quiet rooms or sensory zones — Adelaide, for instance, provides spaces where travellers can step away from the noise and regroup before boarding.
Beyond helping autistic individuals, Dr Tutton believes that more accessible airports benefit everyone. “These supports help lots of other people too,” he says. “When people are more patient, kind and supportive, the benefits flow to everyone. We all prefer environments that are well-structured, sensory-friendly, predictable and easy to navigate.”](https://c3eeedc15c0611d84c18-6d9497f165d09befa49b878e755ba3c4.ssl.cf4.rackcdn.com/photos/blogs/article-1061-1759742013.jpg) 
                                                                                    