Thollander Jan, Gertow Orjan, Hansen Sören, Carlsson Birgitta, Hallert Claes
Medicinkliniken, Länssjukhuset Ryhov, Jönköping.
Lakartidningen. 2004 Mar 4;101(10):888-92.
We assessed the appropriateness of 566 consecutive acute admissions to three departments of internal medicine in southeast Sweden. Using a modified version of the Appropriateness Evaluation Protocol (AEP), 23 per cent of the admissions were classified as medically inappropriate. Half of them could be related to local admission routines unsupported by the AEP or lack of lower level of health services. Patients admitted inappropriately showed a lower mean cost of stay than those admitted appropriately according to AEP, 13,400 SEK and 15,100 SEK, respectively (P < 0.05). Given that the modified AEP lacks validation, uncertainty remains whether it can serve as a supportive tool in routine care management in Sweden.
我们评估了瑞典东南部三个内科部门连续收治的566例急性病患者的收治合理性。采用经修改的《合理性评估方案》（AEP），23%的收治被归类为医疗不合理。其中一半可能与AEP未支持的当地收治常规或较低层级医疗服务的缺乏有关。根据AEP，不合理收治的患者平均住院费用低于合理收治的患者，分别为13,400瑞典克朗和15,100瑞典克朗（P < 0.05）。鉴于修改后的AEP缺乏验证，对于它能否作为瑞典常规护理管理中的辅助工具仍存在不确定性。
