| Titre : | A controlled intervention in reduction of redundant hospital days. (1996) |
| Auteurs : | A. VARDI ; Z. BARZILAY ; Z. BLUMSTEIN ; A. LUSKY ; B. MODAN ; E. SCHIFF ; Department of Pediatrics. Chaim Sheba Medical Center. Tel Aviv University Medical School. Tel Hashomer. ISR |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 25, n° 3, 1996) |
| Pagination : | 604-608 |
| Langues: | Anglais |
| Mots-clés : | Hôpital ; Séjour ; Hospitalisation ; Pédiatrie ; Diminution ; Evaluation ; Homme ; Israël ; Asie ; Utilisation service ; Service soins & consultation |
| Résumé : | [BDSP. Notice produite par INIST Qc42R0x4. Diffusion soumise à autorisation]. Background. Inappropriate use of hospital services, in the form of unjustified hospital stay days (HSD), constitutes a major burden on a health budget. Reduction of unjustified HSD was achieved in a medical ward in a previous intervention study. Methods. A controlled intervention aimed at reducing unjustified hospital stay was performed on 155 paediatric inpatients and 248 controls, by applying pre-set criteria for hospitalization and comparing to results in previous studies. Results. Unjustified stay was decreased from 32.6% to 14.8% on the study ward, and from 25.7% to 19.3% on the control ward. The children on both wards did not differ significantly in rates of subsequent out of hospital mortality, re-admission, and the subjective evaluation of health by their parents one month following discharge. Conclusions. This study demonstrates that despite the fact that the per cent of unjustified HSD on a paediatric ward is much lower than on medicine or surgery, a significant reduction in unjustified stay can be achieved by intervention programme. |
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