inappropritness admissions and inpatients in imam khomeini hospital of tabriz university of medical...

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 Inappropritness Admissions and Inpatients in Imam Khomeini Hospital of Tabriz University of Medical Sciences Research Journal of Biological Sciences 2 (4): 468-471, 2007 Bakhtari Aghdam !ahi di "eazagoli  Mohammadpoor asl Asghar and Kavoosi #ahra  Abstract The ei!ence i"#lica$e $ha$ %0-80& of goern"en$ e'#en!i$ure in heal$h sec$or s#ecialie! $o hos#i$als an! e!uca$ional $rea$"en$ cen$ers Therefore, $hese cen$ers hae eff icien$ an! i"# or$an$ rol e in increasin g or !ec reasin g of e'#en!i$ures This s$u!* sure*e! ina##ro#ria$e a!"ission an! in#a$ien$s in +"a" ho"eini e!uca$ional an! $rea$"en$ cen$ re e use! $he .##r o#ria $e /alua$i on ro$ocol (./) $o ealua$e $he a##ro#ria$eness of 268 a!"issions an! in#a$ien$s in +"a" ho"eini e!uca$ional an! $rea$"en$ cen$re The #e$i$ions selec$e! $hrough ran!o" sa"#ling as ell as !e"ogra#hiccri$eria of $he" ere regis$ere! $hen for anal*sis of !a$a as use! fro" $-$es$ an! 2 3ur fin!ings shoe! $ha$ 6& of a!"i$s an! 86& of in# a$ien$s ere in a## ro# ria$e The re a s re"ar a5l * associa$ion 5e$ een ina ##ro#r ia$ e a!"is sio n an! !is ease !ia gno s$i c (# 00 8) 5u$ $here eren$ an* associa$ion 5e$een ina##ro#ria$e in#a$ien$ i$h age, gen!er, $*#e of insurance an! !isease !iagnos$ic +n $his s$u!*, $here as no associa$ion 5e$een ina##ro#ria$e a!"ission an! in#a$i en$ a"ong ee en! an! non ee en! !a*s Re!u cing ina# #ro#r ia$e hos# i$al s$a* increase hos# i$al #ro! uc$i i$* an! !ecr ease ai$i ng lis $ i$ hou $ !ec rea sing 9ua li$ * of care in $he o$h er han ! ina ##r o#r ia$ e hos#i$al s$a* increase hos#i$al cos$s an! riss of nosocho"ical infec$ion There are seeral $ools $o "easure"en$ of ina##ro#ria$e a!"ission an! #a$ien$ !a* $ha$ a"ong $he" i$h res#ec$ $o our resul$s, coul! 5e $hough$ i"#or$an$ s$e# $o #reen$ing of ina##ro#ria$e a!"ission an! !ecreasing ina##ro#ria$e in #a$ien$ $o li"i$ using fro" sources

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Inappropritness Admissions and Inpatients in Imam Khomeini Hospital of Tabriz University of Medical Sciences

Inappropritness Admissions and Inpatients in Imam Khomeini Hospital of Tabriz University of Medical SciencesResearch Journal of Biological Sciences 2 (4): 468-471, 2007Bakhtari Aghdam, Vahidi Reazagoli, Mohammadpoorasl Asghar and Kavoosi Zahra Abstract The evidence implicate that 50-80% of government expenditure in health sector specialized to hospitals and educational treatment centers. Therefore, these centers have efficient and important role in increasing or decreasing of expenditures. This study surveyed inappropriate admission and inpatients in Imam Khomeini educational and treatment centre. We used the Appropriate Evaluation Protocol (AEP) to evaluate the appropriateness of 268 admissions and inpatients in Imam Khomeini educational and treatment centre. The petitions selected through random sampling as well as demographiccriteria of them were registered then for analysis of data was used from t-test and X2. Our findings showed that 6% of admits and 8.6% of inpatients were in appropriate. There was remarkably association between inappropriate admission and disease diagnostic (p = 0.038) but there werent any association between inappropriate inpatient with age, gender, type of insurance and disease diagnostic. In this study, there was no association between inappropriate admission and inpatient among weekend and non weekend days. Reducing inappropriate hospital stay increase hospital productivity and decrease waiting list without decreasing quality of care; in the other hand inappropriate hospital stay increase hospital costs and risks of nosochomical infection. There are several tools to measurement of inappropriate admission and patient day that among them. With respect to our results, could be thought important step to preventing of inappropriate admission and decreasing inappropriate in patient to limit using from sources.