Appropriateness of Hospital Admissions to a Pulmonology Department

Rodríguez, Francisco Campos; Morón, Inés de la Cruz; Rodríguez, Luis López; Martínez, Araceli Díaz; Fernández, Martín Tejedor; Lucena, F. Muñoz

doi:10.1016/s1579-2129(06)60566-1

Cited by 6 publications

(10 citation statements)

References 13 publications

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“…and Rodríguez et al . [29, 30]. This finding implicated the possibility of the willingness of the responsible physicians to accelerate the process of treatment for certain patients.…”

Section: Discussionmentioning

confidence: 98%

“…This finding implicated the possibility of the willingness of the responsible physicians to accelerate the process of treatment for certain patients. Some researchers implied that this phenomenon also reflected poor communication and coordination between internal sectors [30].…”

Section: Discussionmentioning

confidence: 99%

“…When there is a waiting list, it is possible for physicians to expedite treatment for some patients. For example, a research conducted in Italy found that physicians intended to accelerate the diagnostic process for patients by admitting them into the hospital [30]. However, further evidence is needed to draw any conclusion here.…”

Section: Discussionmentioning

confidence: 99%

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Inappropriate admissions of the cardiology and orthopedics departments of a tertiary hospital in Shanghai, China

et al. 2018

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ObjectivesAdmission rates have increased in China, despite the fact that accessibility to primary care is improving. Hospital care could be cost-inefficient, and little is currently known about the appropriateness of admissions to tertiary hospitals in China. This study aims to measure the extent of inappropriate admissions in the cardiology and orthopedics departments of a tertiary hospital in Shanghai, to explore the factors associated with inappropriateness for each department, and to identify the causes of inappropriate admissions.MethodsThe records of inpatients discharged on randomly sampled two days each week during March 2013 to February 2014 from the two departments were extracted. Two reviewers were recruited to assess the records according to the Chinese version of the Appropriateness Evaluation Protocol (C-AEP). Demographic, socio-economic, and other admissions-related variables were collected. Logistic regression analysis was adopted to determine the associated factors of inappropriateness.Results35.0% (N = 120) of the 343 admissions and 38.7% (N = 179) of the 463 admissions of the cardiology and orthopedics departments were not justified by the C-AEP, respectively. Age (OR = 0.717), self-pay (OR = 3.752), admission via outpatient sector (OR = 5.332), and readmission (OR = 2.501) were identified as factors affecting the appropriateness of admissions in the cardiology department. Age (OR = 0.930), self-pay (OR = 2.597), admission during 12:00–17:59 (OR = 3.211), and admission via outpatient sector (OR = 7.060) were determined to be associated with appropriateness of admission in the orthopedics department. The main reason for inappropriateness was premature admission for both departments.ConclusionsThe magnitude of inappropriate admissions was considerable in the departments. To improve appropriateness, the results suggest that further interventions should be focused on both external and internal factors.

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“…and Rodríguez et al . [29, 30]. This finding implicated the possibility of the willingness of the responsible physicians to accelerate the process of treatment for certain patients.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Inappropriate admissions of the cardiology and orthopedics departments of a tertiary hospital in Shanghai, China

et al. 2018

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“…Our result is in accordance with other studies from around the world. 10,[58][59][60][61][62] Careful thought to inappropriate admission and hospitalization is very important because of their association with unnecessary costs for 3 type of stakeholder including patients and their families, hospitals or organizations, and third-party payers. If these costs are reduced, these 3 groups of stakeholders, especially government hospitals, have a better chance of reorganizing their services.…”

Section: Discussionmentioning

confidence: 99%

Inappropriate Rate of Admission and Hospitalization in the Iranian Hospitals: A Systematic Review and Meta-Analysis

Arab‐Zozani

Pezeshki

Khodayari‐Zarnaq

et al. 2020

Value in Health Regional Issues

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“…2009). Unnecessary hospitalizations also have a negative impact on patients in terms of the inconvenience of a hospital stay, the required social and family adjustments, and iatrogenic risk (Rodríguez et al. 2006).…”

Section: Introductionmentioning

confidence: 99%

A unit‐coordinator system: an effective method of reducing inappropriate hospital stays

Lee³

et al. 2010

International Nursing Review

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Appropriateness of Hospital Admissions to a Pulmonology Department

Cited by 6 publications

References 13 publications

Inappropriate admissions of the cardiology and orthopedics departments of a tertiary hospital in Shanghai, China

Inappropriate admissions of the cardiology and orthopedics departments of a tertiary hospital in Shanghai, China

Inappropriate Rate of Admission and Hospitalization in the Iranian Hospitals: A Systematic Review and Meta-Analysis

A unit‐coordinator system: an effective method of reducing inappropriate hospital stays

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