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Titolo:
Appropriateness of pediatric admissions to a tertiary care facility in Israel
Autore:
Katz, M; Warshawsky, SS; Porat, A; Press, J;
Indirizzi:
Ben Gurion Univ Negev, Fac Hlth Sci, Div Hlth Community, Ctr Med Decis Making, IL-84105 Beer Sheva, Israel Ben Gurion Univ Negev Beer Sheva Israel IL-84105 4105 Beer Sheva, Israel Soroka Univ, Med Ctr, Pediat Emergency Dept, Beer Sheva, Israel Soroka Univ Beer Sheva Israel Pediat Emergency Dept, Beer Sheva, Israel
Titolo Testata:
ISRAEL MEDICAL ASSOCIATION JOURNAL
fascicolo: 7, volume: 3, anno: 2001,
pagine: 501 - 503
SICI:
1565-1088(200107)3:7<501:AOPATA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
HOSPITAL UTILIZATION; EVALUATION PROTOCOL; EMERGENCY;
Keywords:
pediatric hospitalization; appropriateness evaluation; admission criteria;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Warshawsky, SS Ben Gurion Univ Negev, Fac Hlth Sci, Div Hlth Community, Ctr Med Decis Making, POB 653, IL-84105 Beer Sheva, Israel Ben Gurion Univ Negev POB 653 Beer Sheva Israel IL-84105 l
Citazione:
M. Katz et al., "Appropriateness of pediatric admissions to a tertiary care facility in Israel", ISR MED ASS, 3(7), 2001, pp. 501-503

Abstract

Background: Appropriateness of hospital admission has both clinical and economic relevance, especially in light of the growing pressure for increasedefficiency of health services utilization. In Israel, the number of referrals and use of the emergency room continue to rise along with an increase in hospital admissions and the number of inappropriate admissions. Using evaluation protocols, such as the Pediatric Appropriateness Evaluation Protocol, international studies have shown that 10-30% of hospital admissions are medically unnecessary. Inappropriate hospitalizations have an economic impact as well as medical and psychological effects on the child and the family. Objectives: To assess the extent and characteristics of inappropriate pediatric admissions to a tertiary care facility in Israel. Methods: We conducted a prospective study using chart review of pediatric admissions to Soroka University Medical Center on 18 randomly selected daysin 1993, and evaluated the appropriateness of admissions using the PAEP. Results: Of the 221 pediatric admissions 18% were evaluated as inappropriate. The main reason for such an evaluation was that the problem could have been managed on an ambulatory basis. Inappropriate admissions were associated with hospital stays of 2 or less days, children older than I year of age, Jewish children, and self-referrals to the pediatric emergency room. Conclusions: The assessment and identification of characteristics of inappropriate hospital admissions can serve as indicators of problems in healthcare management and as a basis for improving quality of care and developing appropriate medical decision-making processes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 23:16:15