Version 1.6.12
Hospitals got a big rework based on numbers from new 2025 reseach from OECD Health.
- Staffing: Hospitals need three types of workers now. Doctors, nurses and engineers. A small hospital needs 11 staff, medium needs 46, big needs 320. Based on real OECD data.
- Big hospitals are worth it: Small hospitals cost almost 3 staff per bed because of the floor effect. You need a minimum crew just to open the doors. Big hospitals get that down to about 1 per bed. We also cut construction costs. Medium is now $14M, big is $90M.
- Hospital waitlist: Sick people no longer vanish when there are no beds. They go on a waitlist sorted by age. Babies and elderly get priority. While waiting there is a daily mortality risk that gets worse over time.
- Healthcare satisfaction: Drops when the waitlist grows relative to available beds. Smoothed over time so a bad week leaves a mark. You can track it in the stats histograms.
- Discharge policy: New setting in the Spending tab. Controls how many days patients stay. Default 4 days, range 3-10. Shorter stays free beds but cause readmissions. 1 day early means 15% bounce back. 2 days early means 30%. Good luck during a pandemic.
- Hospital status UI: Each hospital shows operational, reduced capacity or closed. Building info shows doctors, nurses and engineers with how many you have vs how many you need.
- Newspaper stories: New stories for understaffing, missing engineers, waitlist deaths and readmissions. More positive stories when things go well.
Also, translations of Turkish (Beta) were updated thanks to Emre!
