Effectiveness of feedback to physicians in reducing inappropriate use of hospitalization: a study in a Spanish hospital

Abstract

Providing physicians with feedback about percentage of inappropriate hospital days produced a significant reduction in the number of inappropriate stays attributable to the doctor, although the impact on overall inappropriate stays is inconclusive.

Diversity and regional inequalities in the Spanish ‘system of health care services’

“…Data shows that inter-regional differences in hospital attendance are small, although there is some significant variability across specific procedures [24,25]. In fact, surgery intervention heterogeneity within regions is higher than that found between regions.…”

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

“…[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.…”

Revue de pertinence des journées d’hospitalisation en médecine et chirurgie : un tiers de journées inappropriées au CHU de Nantes

“…La nécessité d'une prise en compte précoce de l'avis de la famille a notamment été pointée par Zureik et al [18]. L'impact de ces actions d'amélioration sur le nombre de journées non pertinentes nécessitera toutefois d'être évalué puisque peu d'études rapportent des expériences sur la mise en place de programmes d'amélioration de la qualité ayant réduit de manière significative le nombre de journées non pertinentes [19,20]. En effet, au-delà de la sensibilisation indéniable des professionnels de santé à une utilisation raisonnée des ressources hospitalières limitées, l'apport de la revue de pertinence des soins, en tant que méthode d'amélioration de la qualité des soins validée par la Haute autorité de santé, reste à évaluer.…”