A Controlled Intervention in Reduction of Redundant Hospital Days

Vardi, Amir; Modan, Baruch; Blumstein, Zvia; Lusky, Ayala; Schiff, Eyal; Barzilay, Zohar

doi:10.1093/ije/25.3.604

Cited by 13 publications

(10 citation statements)

References 5 publications

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“…18 The only two studies where the doctors conducted their own evaluations (both from Israel) show results that are very similar to those in this study, with reductions of 52.6% of inappropriate stays in medical services 16 and 54.6% in paediatric services. 20 The studies evaluating feedback-based interventions without control groups also showed positive results 28-31 that are, in general, consistent with our own. Certain precautions must be taken when evaluating the effectiveness of an intervention.…”

Section: Discussionsupporting

confidence: 88%

“…Furthermore, the reduction occurred in the inappropriate stays attributable to medical management problems (from 12.7% to 5.8%), indicating that the intervention affected the situations that were directly under the doctors' control, confirming the success of the exercise. The literature contains very few controlled studies that have evaluated the impact of interventions on inappropriate hospital use, [13][14][15][16][17][18][19][20][21] and most of those published refer to the context in the US 13-15 17 or Israel, 16 20 environments that are very different from the Spanish National Health System. None of the studies published has concentrated exclusively on a hospital's surgery department.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15][16][17][18][19][20][21] Additionally, while the importance of involving professionals in all strategies to improve services has been repeatedly stressed, 22 23 only two of these studies incorporated any mechanism for the doctors themselves to evaluate appropriateness. 16 20 The aim of this study was to evaluate the effectiveness of a mixed intervention (including educational components, feedback and evaluation on the part of the doctors) on the reduction of inappropriate hospital stays in general surgery, using a pre-test/post-test design with a control group. Our research hypothesis was that the group exposed to the intervention would show a decrease in the number of inappropriate stays compared to a basal period prior to the intervention, while the control group would not register any variations.…”

mentioning

confidence: 99%

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Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays

Antón

Peiró

Aranaz

et al. 2007

Journal of Epidemiology & Community Health

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays

Antón

Peiró

Aranaz

et al. 2007

Journal of Epidemiology & Community Health

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“…The intervention resulted in a significant reduction in inappropriate hospital stay. 9,10 Our study documented a high rate of inappropriate hospital days (49.3%) in the preintervention phase. It is important to note that the measured appropriateness of hospitalization is also a function of the instrument being used.…”

Section: Discussionmentioning

confidence: 63%

Reducing Inappropriate Hospital Use on a General Pediatric Inpatient Unit

et al. 2008

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“…bribes). Informal payments are commonly considered to be a form of corruption, but not consistently (Cherecheş 2013), and they may not be fraud or corruption (e.g. gifts given out of gratitude or financial support for the benefit of the health facility and other patients).…”

Section: Introductionmentioning

confidence: 99%

Interventions to reduce corruption in the health sector

Gaitonde

Oxman

Okebukola

et al. 2016

Cochrane Database of Systematic Reviews

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Background Corruption is the abuse or complicity in abuse, of public or private position, power or authority to benefit oneself, a group, an organisation or others close to oneself; where the benefits may be financial, material or non-material. It is wide-spread in the health sector and represents a major problem. Objectives Our primary objective was to systematically summarise empirical evidence of the effects of strategies to reduce corruption in the health sector. Our secondary objective was to describe the range of strategies that have been tried and to guide future evaluations of promising strategies for which there is insufficient evidence. Search methods We searched 14 electronic databases up to January 2014, including: CENTRAL; MEDLINE; EMBASE; sociological, economic, political and other health databases; Human Resources Abstracts up to November 2010; Euroethics up to August 2015; and PubMed alerts from January 2014 to June 2016. We searched another 23 websites and online databases for grey literature up to August 2015, including the World Bank, the International Monetary Fund, the U4 Anti-Corruption Resource Centre, Transparency International, healthcare anti-fraud association websites and trial registries. We conducted citation searches in Science Citation Index and Google Scholar, and searched PubMed for related articles up to August 2015. We contacted corruption researchers in December 2015, and screened reference lists of articles up to May 2016. Selection criteria For the primary analysis, we included randomised trials, non-randomised trials, interrupted time series studies and controlled before-after studies that evaluated the effects of an intervention to reduce corruption in the health sector. For the secondary analysis, we included case studies that clearly described an intervention to reduce corruption in the health sector, addressed either our primary or secondary objective, and stated the methods that the study authors used to collect and analyse data. Data collection and analysis One review author extracted data from the included studies and a second review author checked the extracted data against the reports of the included studies. We undertook a structured synthesis of the findings. We constructed a results table and 'Summaries of findings' tables. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the certainty of the evidence. Main results No studies met the inclusion criteria of the primary analysis. We included nine studies that met the inclusion criteria for the secondary analysis. One study found that a package of interventions coordinated by the US Department of Health and Human Services and Department of Justice recovered a large amount of money and resulted in hundreds of new cases and convictions each year (high certainty of the evidence). Another study ...

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A Controlled Intervention in Reduction of Redundant Hospital Days

Abstract: This study demonstrates that despite the fact that the per cent of unjustified HSD on a paediatric wars is much lower than on medicine or surgery, a significant reduction in unjustified stay can be achieved by intervention programme.

Cited by 13 publications

References 5 publications

Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays

Effectiveness of a physician-oriented feedback intervention on inappropriate hospital stays

Reducing Inappropriate Hospital Use on a General Pediatric Inpatient Unit

Interventions to reduce corruption in the health sector

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