Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country

Background: 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. Methods: Inappropriate admission and hospitaliz...

Full description

Bibliographic Details
Main Authors: Mahmood NEKOEI MOGHADAM, Mohammadreza AMIRESMAILI, Reza GOUDARZI, Saeed AMINI, Sajad KHOSRAVI
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-11-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/11771
_version_ 1818870673438670848
author Mahmood NEKOEI MOGHADAM
Mohammadreza AMIRESMAILI
Reza GOUDARZI
Saeed AMINI
Sajad KHOSRAVI
author_facet Mahmood NEKOEI MOGHADAM
Mohammadreza AMIRESMAILI
Reza GOUDARZI
Saeed AMINI
Sajad KHOSRAVI
author_sort Mahmood NEKOEI MOGHADAM
collection DOAJ
description Background: 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. Methods: 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. Results: 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. Conclusion: 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.
first_indexed 2024-12-19T12:10:46Z
format Article
id doaj.art-a7e6627f0f3c4290a1ceb9c68c08b962
institution Directory Open Access Journal
issn 2251-6085
2251-6093
language English
last_indexed 2024-12-19T12:10:46Z
publishDate 2017-11-01
publisher Tehran University of Medical Sciences
record_format Article
series Iranian Journal of Public Health
spelling doaj.art-a7e6627f0f3c4290a1ceb9c68c08b9622022-12-21T20:22:11ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932017-11-014612Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing CountryMahmood NEKOEI MOGHADAM0Mohammadreza AMIRESMAILI1Reza GOUDARZI2Saeed AMINI3Sajad KHOSRAVI4Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranMedical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranResearch Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranHealth Services Management, EDC, Arak University of Medical Sciences, Arak, IranDept. of Health Services Management, School of Public Health, Bam University of Medical Sciences, Bam, IranBackground: 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. Methods: 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. Results: 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. Conclusion: 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.https://ijph.tums.ac.ir/index.php/ijph/article/view/11771Appropriate evaluation protocolInappropriate admissions and hospitalizationHospital
spellingShingle Mahmood NEKOEI MOGHADAM
Mohammadreza AMIRESMAILI
Reza GOUDARZI
Saeed AMINI
Sajad KHOSRAVI
Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country
Iranian Journal of Public Health
Appropriate evaluation protocol
Inappropriate admissions and hospitalization
Hospital
title Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country
title_full Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country
title_fullStr Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country
title_full_unstemmed Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country
title_short Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country
title_sort investigating the appropriateness of admission and hospitalization at a teaching hospital a case of a developing country
topic Appropriate evaluation protocol
Inappropriate admissions and hospitalization
Hospital
url https://ijph.tums.ac.ir/index.php/ijph/article/view/11771
work_keys_str_mv AT mahmoodnekoeimoghadam investigatingtheappropriatenessofadmissionandhospitalizationatateachinghospitalacaseofadevelopingcountry
AT mohammadrezaamiresmaili investigatingtheappropriatenessofadmissionandhospitalizationatateachinghospitalacaseofadevelopingcountry
AT rezagoudarzi investigatingtheappropriatenessofadmissionandhospitalizationatateachinghospitalacaseofadevelopingcountry
AT saeedamini investigatingtheappropriatenessofadmissionandhospitalizationatateachinghospitalacaseofadevelopingcountry
AT sajadkhosravi investigatingtheappropriatenessofadmissionandhospitalizationatateachinghospitalacaseofadevelopingcountry