Review of the utilization of a Portuguese public hospital

Almeida, Anabela and Serrasqueiro, Zélia and Rogeiro, Ana (2007): Review of the utilization of a Portuguese public hospital. Published in: Acta Médica Portuguesa , Vol. 19, No. II (September 2006): pp. 381-386.

Abstract

This paper reports on some important findings of a study conducted in Covilhã/ Portugal on appropriateness of hospital admission and in-hospital days in a Portuguese hospital using an adapted version of the Appropriateness Evaluation Protocol – a review tool for hospital utilization. This analysis showed a significant rate of inappropriateness in admission (24, 6%) and days of stay (37, 4%) and it also suggested a low rate of use of the override options. It was possible to identify the conservative attitude as the most common cause of inappropriate admissions and days of stay. This study demonstrates that a high proportion of admissions and days of stay are related to patients who could have been attended at other levels of the health care system such as outpatient consultations. The analysis made it possible to identify and to explore some variables correlated to the levels of inappropriateness and to the causes of inappropriateness or levels of health care required by the patients.

• Item Type: MPRA Paper
• Language: Portuguese
• Keywords: Appropriateness Evaluation Protocol (AEP); hospital utilization; hospital admission; in-hospital days
• Subjects: I - Health, Education, and Welfare > I1 - Health > I10 - General

References

1. http://www.chcbeira.min-saude.pt/ (acedido em 7 de Julho de 2005) 2. http://www.hospitaissa. min-saude.pt ( acedido em 7 de Julho de 2005) 3. http://www.hospitaissa. min-saude.pt ( acedido em 7 de Julho de 2005) 4. http://www.hospitaissa.min-saude.pt/NR/rdonlyres/F832C0E1- -DB0A-42BA-BF4E-193CD4ECDC17/0/PRU.pdf 5. Unidade de Missão de 2003: Protocolo de Revisão de Utilização – Hospital Cova da Beira 6. http://www.hospitaissa.min-saude.pt/NR/rdonlyres/F832C0E1-DB0A-42BA-BF4E-193CD4ECDC17/0/PRU.pdf 7. CORDERO A et al: Adequação dos Internamentos num serviço de Medicina – Aplicação da escala AEP. Acta Med Port 2004;17:113-118 8. NAVARRO G et al: Review of the utilisation of a university hospital in Barcelona (Spain): Evolution 1992-1996. Eur J Epidemiol 2001;17:679-684 9. RIOS J et al: Utilización Hospitalaria Inadecuada En Servicios Clínicos - Una experiencia con el AEP en un Hospital Universitário de la República Argentina 10. Unidade de Missão de 2003: Protocolo de Revisão de Utilização – Hospital Cova da Beira 11. op. cit. 12. op.cit. 13. GERTMAN PM, RESTUCCIA JD: The Appropriateness Evaluation Protocol: a technique for assessing unnecessary days of hospital care. Medical Care 1981;18(8):855-870 14. RIOS J et al: Utilización Hospitalaria Inadecuada En Servicios Clínicos - Una experiencia con el AEP en un Hospital Universitário de la República Argentina.