Nekoei Moghadam Mahmood, Amiresmaili Mohammadreza, Goudarzi Reza, Amini Saeed, Khosravi Sajad
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Iran J Public Health. 2017 Dec;46(12):1720-1725.
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.
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.
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.
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.
减少医疗服务的不当使用可降低医疗成本，同时不损害服务质量。本研究旨在调查伊朗克尔曼省阿夫扎利普尔医院的不当入院和住院情况。
2015年，通过对伊朗克尔曼省阿夫扎利普尔医院的400例患者进行横断面研究，评估不当入院和住院情况。采用伊朗版的适宜性评估方案收集数据。使用卡方检验和逻辑回归分析数据。
不当入院率和住院率分别为7.6%和9%。不当入院与任何研究变量之间均无显著关系；然而，不当住院与年龄、住院时间和医院科室之间存在显著关系。
如果正确执行入院和住院的标准措施，可降低不必要的住院率，从而可以治疗更多患者，并减轻医院工作人员的成本和工作量。
