Inappropriate admission

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Illustration how little impact is made by health delivery model changes during a 25 year period. Demography and social factors rule in health service demand
A subjective concept with objective elements at any given time and place in any given human culture. Managers of healthcare systems are exercised by it, but so are healthcare workers, patients and their carers.

It has a pretty pointless context as shown by the graph of actual hospital admission data for a large health economy (in this case England). This is despite many health service personnel earning respect by politicians and budget managers by reducing inappropriate admissions.

Contents

External links

Reviews

International Studies

Validation assessment tools

  • Appropriateness Evaluation Protocol (AEP)[14]
  • Emergency Admission Review (EAR)[15]
  • Community Hospital Appropriateness Evaluation Protocol (CHAEP)[16]
  • Prediction skills of various parties[17]
LogoKeyPointsBox.pngAlways confirmed with the Retrospectoscope

References

  1. McDonagh MS, Smith DH, Goddard M. Measuring appropriate use of acute beds. A systematic review of methods and results. Health policy (Amsterdam, Netherlands). 2000 Oct; 53(3):157-84.
  2. Flintoft VF, Williams JI, Williams RC, Basinski AS, Blackstien-Hirsch P, Naylor CD. The need for acute, subacute and nonacute care at 105 general hospital sites in Ontario. Joint Policy and Planning Committee Non-Acute Hospitalization Project Working Group. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 1998 May 19; 158(10):1289-96.
  3. Robain M, Lang T, Fontaine A, Logerot H, Monnet E, Six P, Huet B. Reliability and validity of the French version of the first part of the Appropriateness Evaluation Protocol (AEPf): pertinent criteria of hospitalization stay. Revue d'épidémiologie et de santé publique. 1999 Apr; 47(2):139-49.
  4. Sangha O, Schneeweiss S, Wildner M, Cook EF, Brennan TA, Witte J, Liang MH. Metric properties of the appropriateness evaluation protocol and predictors of inappropriate hospital use in Germany: an approach using longitudinal patient data. International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua. 2002 Dec; 14(6):483-92.
  5. Merom D, Shohat T, Harari G, Oren M, Green MS. Factors associated with inappropriate hospitalization days in internal medicine wards in Israel: a cross-national survey. International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua. 1998 Apr; 10(2):155-62.
  6. Griffiths P, Sironi C. Care needs and point prevalence of post-acute patients in the acute medical wards of an Italian hospital. International journal of nursing studies. 2005 Jul; 42(5):507-12.(Link to article – subscription may be required.)
  7. Attena F, Agozzino E, Troisi MR, Granito C, Del Prete U. Appropriateness of admission and hospitalization days in a specialist hospital. Annali di igiene : medicina preventiva e di comunità. 2001 Mar-Apr; 13(2):121-7.
  8. Sticca G, Filocamo A, Di Domenicantonio R, Prota F, Di Falco C, Materia E, Orsi GB, Guasticchi G. Evaluation of the appropriateness of hospital admissions with the Italian version of the AEP in a university hospital. Annali di igiene : medicina preventiva e di comunità. 2006 Jan-Feb; 18(1):63-73.
  9. Panis LJ, Verheggen FW, Pop P. To stay or not to stay. The assessment of appropriate hospital stay: a Dutch report. International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua. 2002 Feb; 14(1):55-67.
  10. Panis LJ, Gooskens M, Verheggen FW, Pop P, Prins MH. Predictors of inappropriate hospital stay: a clinical case study. International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua. 2003 Feb; 15(1):57-65.
  11. Perneger TV, Chopard P, Sarasin FP, Gaspoz JM, Lovis C, Unger PF, Junod AF, Waldvogel FA. Risk factors for a medically inappropriate admission to a Department of Internal Medicine. Archives of internal medicine. 1997 Jul 14; 157(13):1495-500.
  12. Celik Y, Celik SS, Bulut HD, Khan M, Kisa A. Inappropriate use of hospital beds: a case study of university hospitals in Turkey. World hospitals and health services : the official journal of the International Hospital Federation. 2001; 37(1):6-13, 33-4.
  13. Rosenthal GE, Kaboli PJ, Barnett MJ. Differences in length of stay in Veterans Health Administration and other United States hospitals: is the gap closing? Medical care. 2003 Aug; 41(8):882-94.(Link to article – subscription may be required.)
  14. Smith HE, Pryce A, Carlisle L, Jones JM, Scarpello J, Pantin C. Appropriateness of acute medical admissions and length of stay. Journal of the Royal College of Physicians of London. 1997 Sep-Oct; 31(5):527-32.
  15. Armstrong SH, Peden NR, Nimmo S, Alcorn M. Appropriateness of bed usage for inpatients admitted as emergencies to internal medicine services. Health bulletin. 2001 Nov; 59(6):388-95.
  16. Donald IP, Jay T, Linsell J, Foy C. Defining the appropriate use of community hospital beds. The British journal of general practice : the journal of the Royal College of General Practitioners. 2001 Feb; 51(463):95-100.
  17. Dent AW, Weiland TJ, Vallender L, Oettel NE. Can medical admission and length of stay be accurately predicted by emergency staff, patients or relatives? Australian health review : a publication of the Australian Hospital Association. 2007 Nov; 31(4):633-41.
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