SUMMARY Management of Public Health THE OPTIMIZATION OF ACTIVITIES FOR NURSING AND PALLIATIVE CARE HOSPITALS Viktoras Lebedžinskas Supervisor Donatas Bierontas, Dr., Assoc. Prof., Department of Social Medicine, Faculty of Public Health, Kaunas University of Medicine. – Kaunas, 2005. – P. 66. The aim of this study was to investigate the nursing activities in Marijampole region and to offer recommendations for optimization of nursing services. Methods of study – primary data were obtained from the databases of the institutions of personal health care of Marijampole region, also from information system “Sveidra” during 1999–2003 years was enrolled to the information database. Statistical analysis was performed using MS EXCEL 2000 standard statistical programming packages. Results. The average length of stay in all institutions of nursing and palliative care in Marijampole region differed. The levels of bed occupancy and bed turnover had a tendency to decrease, while the levels of hospital lethality statistically significantly increased. Analysis of the trends of Kudirkos Naumiestis primary health care hospital of nursing and palliative care during 1999-2003 suggested, that the number of bed-days significantly increased in average by 7.2%per year, (p=0.01), the bed turnover decreased from 11.3 events in 1999 to 6.8 events in 2003 (in average by 13.1% per year, p=0.001). Throughout the period of investigation, despite of increasing average length of stay (in average by 9.1%/yrs... [to full text]