پذيرش و روزهاي اقامت بيماران براساس پروتكل ارزيابي مناسبت در مركز آموزشي درماني امام خميني تبريز در سال 1385

Admissions and Numbers of Days of Staying of Inpatients on the Basis of the Appropriateness Evaluation Protocols in Imam Khomeini Teaching Hospital of Tabriz in 2006

Background and Objective: Reducing in efficient utilization of health services is one of the methods of reallocation health finance with preserving the quality of services. Assessing in appropriate utilization of services in present research was carried out. With regards rate of inappropriate admission and hospitalization of patients, this research was a step forward and aims to find inappropriate admission and inpatients rate in Imam Khomeini teaching hospital. Materials and methods: In this cross-sectional analytical study, admission and hospitalization 268 individual patients of Imam Khomeini teaching hospital were assessed using (Appropriateness Evaluation Protocol) AEP protocol. Patients, individual and social characteristics were studied too. The independent t-test and chi-square were used to analyze the data. Results: Analysis of the data shows that there were no meaningful relationships between, type of admissions with age, gender, and insurance plan. We also found no meaningful relationship between inappropriate admission and hospitalization with closed days. Conclusion: A small percentage of hospital admissions were inappropriate, which might be due to weakness in referral and treatment intervention on lower levels of health care system. Reduction in inappropriate length of stay (L.O.S.) has a profound effect on increase of productivity, waiting list, hostelling costs and hospital sepsis. Considering the finding at the present study, we need to put more effort to develop initiatives such as improving the discharge process, and performance of lower levels of health care system in order to hospitalization