Original Article

Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country

Abstract

Background: Reduction of inappropriate use of health services can decrease health care costs without harming the quality of services. This study aimed to investigate inappropriate admission and hospitalization at Afzalipour Hospital of Kerman, Iran.

Methods: Inappropriate admission and hospitalization were assessed via a cross-sectional study on 400 patients in Kerman Afzalipour Hospital, Kerman, Iran in 2015. The Iranian version of the Appropriateness Assessment Protocol was used for data collection. Chi-square tests and logistic regression were used to analyze the data.

Results: The rate of inappropriate admissions and hospitalization were 7.6% and 9% respectively. There was no significant relationship between inappropriate admissions and any of the studied variables; however, there was a significant relationship between inappropriate hospitalization and age, length of stay and hospital departments.

Conclusion: If standard measures of admission and hospitalization execute correctly, unnecessary hospitalization rate can be reduced, so more patients can be treated and cost and workload of hospital personnel can be moderated.

 

 

Arab M, Zarei A, Rahimi A, Rezaiean F, Ak-bari F (2010). Analysis of Factors Affect-ing Length of stay in Public Hospitals in Lorestan Province, Iran. Hakim Health Sys Res, 12(4): 27- 32.

Yaghoobi far M, Maskani K, Akaberi A, Shahabi F (2011). The Rate of Inappro-priate Admissions and Staying of Patients in Hospitals of Sabzevar, Iran. Journal of Sabzevar University of Medical Science, 18(3): 224-232.

Panis G, Lambert Y, Frank W et al (2003). Predictors of inappropriate hospital stay: a clinical case study. Int J Qual Health Care, 15(1): 57-69.

McDonagh MS, Smith DH, Goddard M (2000). Measuring appropriate use of acute beds: A systematic review of meth-ods and results. Health Policy, 53(3): 157-184.

Chopard P, Perneger TV, Gaspoz J et al (1998). Predictors of inappropriate hospi-tal days in a department of internal medi-cine. Int J Epidemiol, 27(3):513-9.

Panis LJ, Gooskens M, Verheggen FW et al (2003). Predictors of in appropriate hos-pital stay: a clinical study. Int J Qual Health Care, 15(1): 57-65.

Soria–Aledo V, Carrillo–Alcaraz A, Campil-lo–Soto A et al (2009). Associated factors and cost of inappropriate hospital admis-sions and stays in a second–level hospi-tal. Am J Med Qual, 24(4): 321-332.

Mould–Quevedo J, García–Peña C, Contre-ras–Hernández I et al (2010). Direct costs associated with the appropriateness of hospital stay in elderly population. BMC Health Serv Res, 9(1): 151.

Antón P1, Peiró S, Aranaz JM et al (2007). Effectiveness of a physician-oriented feedback intervention inappropriate hos-pital stays. J Epidemiol Community Health, 61: 128-34.

Al-Tehewy M, Shehad E, Al Gaafary M et al (2009). Appropriateness of hospital ad-missions in general hospitals in Egypt. East Mediterr Health J, 15(5): 1126-1134.

Coast J, Peters TJ, Inglis A (1996). Factors Associated with inappropriate emergency hospital admission in the UK. Int J Qual Health Care, 8(1): 31-39.

Levis JN, Anderson GM (1996). Appropri-ateness in health care delivery: definitions, measurement and policy implications. CMAJ, 154: 321-328.

Tavakoli N, Hoseini Kasnaviyeh M, Yasin-zadeh MR, Amini M, Mahmoudi Nejad M (2015). Evaluation of appropriate and inappropriate admission and hospitaliza-tion days according to appropriateness evaluation protocol (AEP). Arch Iran Med, 18(7): 430 – 434.

Kossoovsky M, Chopard P, Boola F et al (2002). Evaluation of quality improve-ment intervention to reduce inappropriate hospital use. Int J Qual Health Care, 14(3): 227 – 232.

Haghdoost A, Baneshi M, Marzban M (2011). How to Estimate the Sample Size in Special Conditions? (Part two). Irje, 7 (2) :67-74.

Esmaili A, Ravaghi H, Seyedin H et al (2015). Developing of the Appropriateness Evaluation Protocol for Public Hospitals in Iran. Iran Red Crescent Med J, 17(3): e19030.

Fekari A, Ghiasi A, Ezzati M, Pakdaman M, Khalafi A (2011). The Assessing of Inap-propriate Admissions and Hospitalization based on Appropriate Evaluation Proto-col in Alinasab hospital in Tabriz-2009. jhosp, 9(3, 4): 39-44.

Pourreza A, Kavosi Z, Khabiri R, Salimza-deh H (2008). Inappropriate admission and hospitalization in teaching hospitals of tehran university of medical sciences, Iran. Pak J Med Sci, 24(2): 301-305.

Thollander J,Gertow O, Hansen S, Carlsson B,Hallert C (2004).Assessment of inap-propriate emergency admissions :A study 566 consecutive cases. Lakartidningen, 101(10):888-892.

Chopard P, Perneger TV, Gaspoz JM et al (1998). Predictors of inappropriate hospi-tal days in a department of internal medi-cine. International Epidemiological Association, 27: 513-519.

Young GJ, Cohen BB (1992). The process and outcome of hospital care for Medicade versus privately insured hospi-tal patient. Inquiry, 29(4):366-371.

Neumann A, Schultz-Coulon HJ (2001). Use of appropriateness evaluation protocol in inpatient ENT practice. HNO, 49(1): 12-20.

Villatla J, Siso A, Cereijo AC, Sequeira E, De Lasierra A (2004). Appropriateness of hospitalization in a short stay unit of a teaching hospital, a controlled study. Med Clin (Barc), 122(2): 454-456.

Hartz J, Priscilla F, Sigmann P. Guse C (2005). The evaluation of screening methods to identify medically unneces-sary hospital stay for patient with Pneu-monia. Int J Qual Health Care, 8: 3- 11.

Celik Y, Celik SS, Bulut HD, Khan M, Kisa A (2001). Inappropriate use of hospital beds: a case study of university hospitals in turkey. World Hosp Health Serv, 37(1): 6-13.

Attena F, Agozzino E, Troisi MR, Granito C, Delprete U (2001). Appropriateness of admission and hospitalization days in a specialist hospital. Ann Ig, 13(2): 121-127.

Appolon G, Fellin G, Tampieri A (1995). Appropriateness of hospital use: an overview of Italian studies. Int J Qual Health Care, 7(3):219-225.

Barouni M, Amini S, Khosravi S (2016). Appropriateness of Delivered Services in Educational Hospitals: A Case Study in Kerman University of Medical Sciences. Sadra Med Sci J, 4(3): 185-194.

Files
IssueVol 46 No 12 (2017) QRcode
SectionOriginal Article(s)
Keywords
Appropriate evaluation protocol Inappropriate admissions and hospitalization Hospital

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
NEKOEI MOGHADAM M, AMIRESMAILI M, GOUDARZI R, AMINI S, KHOSRAVI S. Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country. Iran J Public Health. 2017;46(12):1720-1725.