Investigation of the correlation between inappropriate hospitalization and hospital stay rate: An application in Medical clinics of a military hospital

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. This st...

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Bibliographic Details
Published in:Military medicine 2002-10, Vol.167 (10), p.817-820
Main Authors: DEMIR, Cesim, TEKE, Kadir, FEDAI, Turan, KENAR, Levent, BILGIC, Hayati, SEN, Dervis
Format: Article
Language:English
Subjects:
Analysis. Health state
Biological and medical sciences
Decision Making
Delphi Technique
Epidemiology
Female
General aspects
Health Services Misuse - statistics & numerical data
Health Services Research
Hospitalization - statistics & numerical data
Hospitals, Military - statistics & numerical data
Humans
Length of Stay
Male
Medical sciences
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Turkey
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Summary: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. 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. 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. 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%). It was concluded that the inappropriate hospitalization rate and inappropriate stay rates were 4.8% and 15.75%, respectively.
ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/167.10.817