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equired for the majority of the remainder while three admissions required DGH care
according to AEP criteria. Sixty-eight per cent of bed days satisfied day-of-care criteria
within CHAEP and only a further 2% were given clinical override. These results were similar
to those found with the AEP at the DGHs where 75% of admissions (plus 16% given clinical
override) and 55% of days-of-care (plus 20% given clinical override) satisfied the AEP
criteria. The review panel generally did not agree with the clinician's use of the clinical
override at the CHs. Agreement between research nurse and review panel was better for
the AEP and DGH (kappa = 0.9, 95% confidence interval (CI) = 0.7-1.0) than for the
CHAEP and CH (kappa = 0.37, 95% CI = 0.1-0.8). CONCLUSIONS: The CHAEP could be
used to audit the appropriateness of admission and length of stay in CHs. Other health
communities would need to review the CHAEP before it could be applied within their
context.
4/21 von 41 DIMDI: EMBASE (EM74) © Elsevier Science B.V. 2002
Titel: Investigation of the correlation between inappropriate hospitalization and hospital
stay rate: An application in medical clinics of a military hospital
Autoren: Demir C; Teke K; Fedai T; Kenar L; Bilgic H; Sen D
Quelle: Military Medicine; 167/10 (817-820); 2002; 01 OCT 2002
Sprache: ENGLISH
Institution: L. Kenar, Department of Biochemistry, Gulhane Military Medical Academy, 06018 Etlik-
Ankara; Turkey
Schlagwörter
CT: HOSPITALIZATION*; PUBLIC HOSPITAL; LENGTH OF STAY; NUCLEAR MEDICINE;
MEDICAL SERVICE; PHYSICIAN; HEALTH CARE FACILITY; HEALTH CARE SYSTEM;
ARTICLE
Sonstige Information
ND: 2002376427
RN: 15
CO: MMEDA
ISSN: 0026-4075
CY: United States
AL: ENGLISH
DT: Article; Journal
AB: Background: Medical services play a major role in hospital facilities. Along with the medical
applications and diagnoses, physicians affect the hospital costs by 70% to 80%. Therefore,
the hospital administrators should establish some systems that can modify the current
application models of physicians. Objective: This study aimed to investigate the
appropriateness of hospitalization days and length of stay of the patients in 13 internal
clinics in a military hospital. Study design: 5,205 patient days belonging to 416 patients
were evaluated by Appropriateness Evaluation Protocol. Patients' data were
retrospectively collected by using a "data collection form" through patients' files and then
were evaluated by frequencies and percentage distributions. Results: The unnecessary
hospitalization rate and unnecessary stay rate were 4.8% and 15.75%, respectively. The
highest unnecessary hospitalization rates were in nuclear medicine (50%). Conclusion: It
was concluded that the inappropriate hospitalization rate and inappropriate stay rates were
4.8% and 15.75%, respectively.
ET: Public Health, Social Medicine and Epidemiology - 17
4/22 von 41 DIMDI: EMBASE (EM74) © Elsevier Science B.V. 2002
Titel: Assessing inappropriate hospital stay in Internal Medicine using the Dutch
Appropriateness Evaluation Protocol (2)
Autoren: Panis LJGG; Verheggen FWSM; Pop P; Prins MH
Quelle: International Journal for Quality in Health Care; 14/5 (431-432); 2002
Sprache: ENGLISH
Institution: L.J.G.G. Panis, Department of Clinical Epidemiology, Medical Technology Assessment,
University Hospital Maastricht, Maastricht; Netherlands
Schlagwörter
CT: HOSPITALIZATION*; LENGTH OF STAY*; INTERNAL MEDICINE; CLINICAL
PROTOCOL; NETHERLANDS; RESOURCE ALLOCATION; DIAGNOSTIC PROCEDURE;
EMERGENCY HEALTH SERVICE; CONSULTATION; MEDICAL SPECIALIST; GENERAL
PRACTITIONER; PATIENT REFERRAL; COMORBIDITY; HUMAN; CONTROLLED
G-AEP_Bericht_703.doc-22.08.2003-48