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Autoren: Kaya S; Eroglu K; Vural G; Shwartz M; Restuccia JD
Titel: Factors affecting appropriateness of hospital utilization in two hospitals in Turkey.
Quelle: Journal of medical systems; VOL: 25 (6); p. 373-83 /200112/
SU: IM
Sprache: English
CY: United States
JID: 7806056
ISSN: 0148-5598
CO: JMSYDA
Institution: Takemi Program in International Health, Harvard School of Public Health, Boston,
Massachusetts 02115, USA. sdkaya@hacettepe.edu.tr
DT: Journal Article
Schlagwörter
CT: CROSS-SECTIONAL STUDIES; EFFICIENCY, ORGANIZATIONAL; HEALTH SERVICES
MISUSE/*STATISTICS & NUMERICAL DATA; HOSPITALS, PUBLIC/UTILIZATION;
HOSPITALS, TEACHING/ORGANIZATION & ADMINISTRATION; HOSPITALS,
TEACHING/*UTILIZATION; HOSPITALS, UNIVERSITY/UTILIZATION; HUMAN; LOGISTIC
MODELS; PROFESSIONAL STAFF COMMITTEES; REPRODUCIBILITY OF RESULTS;
SUPPORT, NON-U.S. GOV'T; TURKEY; UTILIZATION REVIEW/*METHODS
CTG: Querschnittsstudien; Effizienz, institutionelle; Gesundheitsdienste, Mißbrauch/*Statistik &
Zahlen; Krankenhäuser in öffentlicher Trägerschaft/Verwendung; Krankenhäuser, Lehr-
/Organisation & Verwaltung; Krankenhäuser, Lehr-/*Verwendung; Krankenhäuser,
Universitäts-/Verwendung; Mensch; Logistische Modelle; Fachausschüsse;
Reproduzierbarkeit, Ergebnis-; Support, Non-U.S. Gov'T; Türkei;
Nutzungsüberprüfung/*Methoden
AB: To determine the extent of inappropriate hospital use, to investigate factors related to
variations in appropriateness, and to identify reasons for inappropriateness, the
Appropriateness Evaluation Protocol (AEP) was applied to 2,067 patient days in two
hospitals between March 1997 and 1998 in Ankara, Turkey. A substantial amount of
inappropriate utilization was found in both hospitals (34.2%, 24.6%). Factors affecting the
appropriateness of hospital utilization and reasons for inappropriateness were varied and
presented by internal medicine, general surgery, and gynecology services. In general,
results of the logistic regression analysis indicated that inappropriateness was significantly
associated with admission number (first admission/readmission), admission route
(emergent/non-emergent), and day of the week. The most common reason for
inappropriateness was diagnostic procedures and/or treatments that could have been
carried out on an ambulatory basis. This study demonstrates that the AEP can be used as a
tool to improve the efficiency of the Turkish hospitals.
4/9 von 41 DIMDI: MEDLINE (ME66) © NLM
ND: 21590590
PMID: 11733589
LR: 20020910
Autoren: Campbell J
Titel: Inappropriate admissions: thoughts of patients and referring doctors.
Quelle: Journal of the Royal Society of Medicine; VOL: 94 (12); p. 628-31 /200112/
SU: IM
Sprache: English
CY: England
JID: 7802879
ISSN: 0141-0768
CO: JRSMD
Institution: Bishop's Castle Medical Practice, Schoolhouse Lane, Bishop's Castle, Shropshire SY9
5BP, UK. jpcam@totalise.co.uk
DT: Journal Article
Schlagwörter
CT: ATTITUDE OF HEALTH PERSONNEL/*; DECISION MAKING; EMERGENCY SERVICE,
HOSPITAL/STANDARDS; ENGLAND; HEALTH SERVICES MISUSE/*; HUMAN;
INPATIENTS/PSYCHOLOGY; MEDICAL STAFF, HOSPITAL/*PSYCHOLOGY; PATIENT
ADMISSION/*STANDARDS; PATIENT SATISFACTION/*STATISTICS & NUMERICAL
DATA; PHYSICIANS, FAMILY/*PSYCHOLOGY; REFERRAL AND
G-AEP_Bericht_703.doc-22.08.2003-39