Evaluation of the appropriateness of hospital stay in gynecological wards in Tabriz Teaching Hospitals
Pakistan Journal of Medical Sciences. 2009; 25 (5): 852-856
em Inglês
| IMEMR
| ID: emr-93626
ABSTRACT
The increasing demand for health care services together with the increasing cost of providing them supports the need for a reconsideration of the existing structures. This study evaluated the appropriateness of hospital stay in gynecological wards. This is a descriptive-analytic study which was conducted in 2006-2007 by using modified appropriateness evaluation protocol. The average duration of hospital stay for 402 patients was 55.18 +/- 45.03 hours. The length of hospital stay was inappropriate in 61.2%.The main reasons for unnecessary stay before surgery included no prior outpatient preparation of patients for operation, inadequate diagnostic procedures and the problems resulting from urgent admission [OR=2.91, CI=1. 53-5.28, OR=1.56, CI=1.10-2.99 and OR=1.01, CI=0.08-2.58 respectively].The most important factors for inappropriate stay after surgery included patient's home-hospital distance and delayed physician's order for discharge [OR=4.18, CI=2.57-13.20 and OR=2.06, CI=1.02-4.43]. Inappropriate hospital stay was 61.2%, and it could be decreased to 28.10% by using appropriate approaches
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Unidade Hospitalar de Ginecologia e Obstetrícia
/
Revisão da Utilização de Recursos de Saúde
/
Estudos de Avaliação como Assunto
/
Pesquisa sobre Serviços de Saúde
/
Hospitais de Ensino
Tipo de estudo:
Estudos de avaliação
Limite:
Humanos
Idioma:
Inglês
Revista:
Pak. J. Med. Sci.
Ano de publicação:
2009
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