Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Int J Health Plann Manage. 2019 Apr;34(2):636-643. doi: 10.1002/hpm.2723. Epub 2019 Jan 4.
Examining the conditions for hospital admission and its appropriateness, and continuous investigation of hospital services are important issues that can improve resource productivity, service quality, and hospital efficacy. So, the present study was conducted to determine the appropriateness of the services provided in Yasuj educational hospitals.
This descriptive-analytical study was carried out on 204 hospitalized patients who were selected through multistage quota sampling in 2016. The appropriateness evaluation protocol (AEP) was used to collect the data. Analytical tests such as paired t-test, chi-square test, and Fisher's exact test were used to determine the relationship between appropriate and inappropriate admission and hospitalization and demographic characteristics. The data were analyzed using the SPSS18 statistical software.
A total of 980 days of stay were evaluated, and according to the AEP, 35 days of hospitalization were considered inappropriate (3.57%). The mean hospitalization duration was 6/16 ± 5/53 days. The results showed that inappropriate admission and hospitalization rates were respectively 0.6% and 13.8%.
Unnecessary admissions and hospitalizations can be considered as one of the challenges of the health system. Reducing unnecessary hospitalization will increase hospital productivity, reduce the waiting list and hospitalization costs, and also reduce the risk of exposure to hospital infections. In order to prevent inappropriate admissions and unnecessary hospitalizations, special measures can be taken, including the use of clinical guidelines, modification of the discharge process, and modification of the lower levels of the service providing system.
检查住院条件及其适宜性，并对医院服务进行持续调查，是提高资源生产力、服务质量和医院效率的重要问题。因此，本研究旨在确定亚苏季教育医院所提供服务的适宜性。
这是一项描述性分析研究，于 2016 年采用多阶段配额抽样法，选取了 204 名住院患者。采用适宜性评估方案（AEP）收集数据。采用配对 t 检验、卡方检验和 Fisher 确切检验等分析性检验，确定适宜性和不适宜性入院和住院与人口统计学特征之间的关系。使用 SPSS18 统计软件进行数据分析。
共评估了 980 天的住院时间，根据 AEP，有 35 天的住院时间被认为是不适宜的（3.57%）。平均住院时间为 6/16±5/53 天。结果显示，不适宜入院和住院的比例分别为 0.6%和 13.8%。
不必要的入院和住院可被视为卫生系统面临的挑战之一。减少不必要的住院可以提高医院的生产力，降低等候名单和住院费用，还可以降低医院感染的风险。为了防止不适宜的入院和不必要的住院，可以采取特殊措施，包括使用临床指南、修改出院流程和修改服务提供系统的较低级别。
