Two very different views are emerging about The Canberra Hospital. The public has very little chance of deciding where the truth lies and therefore whether the politicians they vote for are doing a good job.
On one hand, we have a line of research from past Grants Commission reports, a more recent Productivity Commission inquiry and several other consultants’ reports. These suggest that The Canberra Hospital is costing up to 50 per cent over the national average and that the extra cost can be put down to inefficiencies of one sort or another and higher incomes than necessary for doctors, administrators, nurses and others. Along with this research are suggestions that The Canberra Hospital does not do a brilliant job medically compared to hospitals that can specialise more in Sydney. These hospitals have the ability to attract the very best in their fields because of the degree of specialisation and the volume of work in the specialisation.
On the other hand, a very detailed study by the Australian Salaried Medical Officers Federation paints a different picture. It shows a hospital that works in a different way from virtually every other hospital in the country. The Canberra Hospital takes the most serious cases from a very large area in NSW. Moreover, as it is the only major hospital for miles around it does not specialise, unlike hospitals in Sydney and Melbourne. It tends, therefore, to treat a patient from start to finish as one event. In short, Canberra hospital episodes (separations, in the jargon) tend to be longer, more complex and more comprehensive than the average in other states. Further, hospitals in larger cities had lower cost structures.
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