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.
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.
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.
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.
Mots-clés Pascal : Hôpital, Temps séjour, Utilisation, Service santé, Durée, Hospitalisation, Pédiatrie, Diminution, Evaluation, Homme, Israël, Asie, Adéquation
Mots-clés Pascal anglais : Hospital, Residence time, Use, Health service, Duration, Hospitalization, Pediatrics, Decrease, Evaluation, Human, Israel, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0317932
Code Inist : 002B30A01C. Création : 10/04/1997.