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• W2019447127 abstract "The use of acute hospital beds is an issue of concern both to policy-makers and practitioners. In most countries attempts to improve efficiency and reduce costs in this sector. One of the most widely used instruments for assessing inappropriate hospital use is Appropriateness Evaluation Protocol (AEP), which consists of a set of standards based on objective criteria relating to the condition of the patient or clinical services received. The aim of this study was to measure inappropriateness of admission and inpatient stays in four major hospitals of Shiraz, Iran. One of the most widely used instruments for assessing inappropriate hospital use is Appropriateness Evaluation Protocol (AEP), which consists of a set of standards based on objective criteria relating to the condition of the patient or clinical services received Results: The results showed that 22% of the total admissions in four hospitals were rated as inappropriate. Most and least inappropriate admissions were found in both teaching university affiliated hospitals. Our data show that a total of 29.6% (average 6.40%) of the hospital stays in the sample were judged to be inappropriate. The result of Least Significant Difference (LSD) Test showed a significant association between the mean days of inappropriate stay and turn of admission in all hospitals. In all hospitals, a significant association was observed between inappropriateness of hospital stay, costs and length of stay. Considering the findings of this study and other studies in Iran and other countries, we can conclude that factors involving in inappropriate admission of patients in the hospitals are mostly fixed and similar factors. To solve this problem we can use some strategy such as: Improving the performance of the referral system, using standard criteria for an appropriate evaluation protocol by the medical staff, Extending of outpatient diagnosis services for reducing of inappropriate hospitalization." @default.
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• W2019447127 date "2011-11-01" @default.
• W2019447127 modified "2023-10-03" @default.
• W2019447127 title "PIH55 Necessity of Admissions and Hospitalizations in Selected Teaching University Affiliated and Private Hospitals of Shiraz, Iran in 2007" @default.
• W2019447127 doi "https://doi.org/10.1016/j.jval.2011.08.958" @default.
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