Rishpon S, Epstein L M, Rennert H
Haifa District Health Office, Ministry of Health, Israel.
Isr J Med Sci. 1989 Jul;25(7):392-7.
The efficient use of hospital resources is an important issue. In order for the hospital management to identify definite areas where and why this use is inefficient, the Appropriateness Evaluation Protocol is used. The rate of unnecessary hospitalization days was thus studied during 1984 in two government general hospitals in Israel. Two simultaneous studies, cross-sectional and longitudinal, were conducted by the same team in the general medicine, surgery and gynecology wards. Unnecessary hospitalizations were found in both hospitals. The rate was particularly high in the surgery departments of the university hospital where there were 2.5-3 times more unnecessary days than in the community hospital. The major reasons for these unnecessary days in the university hospital were internal (problems concerning the use of diagnostic facilities, operating rooms and consultants), whereas in the community hospital they related mainly to discharge planning. The study identified definite areas in which hospital authorities could possibly take action to reduce the wastage.
医院资源的有效利用是一个重要问题。为使医院管理层确定医院资源利用效率低下的具体领域及原因，采用了适宜性评估方案。1984年，以色列两家政府综合医院对不必要住院天数的比例进行了研究。同一研究团队在综合内科、外科和妇科病房同时开展了两项研究，一项是横断面研究，另一项是纵向研究。两家医院均发现存在不必要住院的情况。大学医院外科的不必要住院率尤其高，其不必要住院天数比社区医院多2.5至3倍。大学医院出现这些不必要住院天数的主要原因是内部原因（涉及诊断设备、手术室和会诊医生使用方面的问题），而社区医院的主要原因则主要与出院计划有关。该研究确定了医院管理部门可能采取行动减少浪费的具体领域。
