G-AEP-Kriterien - Deutsche Gesellschaft für Gerontologie und ...

CONSULTATION/STANDARDS
CTG: Einstellung des Gesundheitspersonals/*; Entscheidungsfindung; Notfallabteilung,
Krankenhaus-/Standard; England; Gesundheitsdienste, Mißbrauch/*; Mensch; Patienten,
stationäre/Psychologie; Medizinisches Personal, Krankenhaus/*Psychologie;
Patientenaufnahme/*Standard; Patientenzufriedenheit/*Statistik & Zahlen;
Hausärzte/*Psychologie; Überweisung und Konsultation/Standard
NOTE: Comment in: J R Soc Med. 2002 Feb;95(2):111; Ref.PMID: 11823563
AB: Research on inappropriate hospital admissions has tended to neglect the views of the
referring doctors and the patients. In this study, the Appropriateness Evaluation Protocol
was applied to a random sample of 102 emergency medical admissions. The patients and
doctors were then presented with a list of possible alternatives to admission that might have
been used at the point of referral. Case notes were available for 88 patients. As judged by
these, 28% of admissions were inappropriate, the commonest reason being the potential for
treatment or tests to have been performed as outpatient procedures; next commonest was
the possibility of lower level care. The response rate to the questionnaires was about twothirds,
for both doctors and patients. Of the general practitioners and casualty doctors who
responded, 60% specified alternatives to admission that they would have considered, and
the equivalent figure for patients was 70%. For both groups the major preferences were
same-day outpatient assessment and admission to a community hospital. Referring doctors
and patients, in this survey, favoured alternatives to acute medical care in proportions much
higher than that of supposedly inappropriate admission.
4/10 von 41 DIMDI: MEDLINE (ME66) © NLM
ND: 21444384
PMID: 11560355
LR: 20020513
Autoren: Peiró S; Meneu R; Lorenzo S; Restuccia JD
Titel: Assessing the necessity of hospital stay by means of the appropriateness evaluation
protocol: a different perspective.
Quelle: International journal for quality in health care : journal of the International Society for Quality
in Health Care / ISQua; VOL: 13 (4); p. 341-3, discussion 345-6 /200108/
SU: IM
Sprache: English
CY: England
JID: 9434628
ISSN: 1353-4505
CO: IJQCF
DT: Comment; Letter
Schlagwörter
CT: EUROPE; HEALTH SERVICES MISUSE/*; HEALTH SERVICES RESEARCH;
HOSPITALIZATION/*; HOSPITALS, UNIVERSITY/UTILIZATION; NEEDS ASSESSMENT;
UTILIZATION REVIEW/*
CTG: Europa; Gesundheitsdienste, Mißbrauch/*; Gesundheitsdienstforschung;
Krankenhauseinweisung/*; Krankenhäuser, Universitäts-/Verwendung;
Bedarfseinschätzung; Nutzungsüberprüfung/*
NOTE: Comment on: Int J Qual Health Care. 1994 Dec;6(4):347-52; Ref.PMID: 7719670; Comment
on: Int J Qual Health Care. 1995 Sep;7(3):253-60; Ref.PMID: 8595463; Comment on: Int J
Qual Health Care. 1999 Oct;11(5):419-24; Ref.PMID: 10561034; Comment on: Int J Qual
Health Care. 2000 Dec;12(6):483-93; Ref.PMID: 11202602
4/11 von 41 DIMDI: MEDLINE (ME66) © NLM
ND: 21444377
PMID: 11560348
Autoren: Halfon P; Eggli Y
Titel: Screening inappropriate hospital days on the basis of routinely available data.
Quelle: International journal for quality in health care : journal of the International Society for Quality
in Health Care / ISQua; VOL: 13 (4); p. 289-99 /200108/
SU: IM
Sprache: English
G-AEP_Bericht_703.doc-22.08.2003-40