Investigation of the correlation between inappropriate hospitalization and hospital stay rate: an application in medical clinics of a military hospital.
BACKGROUND
Medical services play a major role in hospital facilities. Along with the medical applications and diagnoses, physicians affect the hospital costs by 70% to 80%. Therefore, the hospital administrators should establish some systems that can modify the current application models of physicians.


OBJECTIVE
This study aimed to investigate the appropriateness of hospitalization days and length of stay of the patients in 13 internal clinics in a military hospital.


METHODS
5,205 patient days belonging to 416 patients were evaluated by Appropriateness Evaluation Protocol. Patients' data were retrospectively collected by using a "data collection form" through patients' files and then were evaluated by frequencies and percentage distributions.


RESULTS
The unnecessary hospitalization rate and unnecessary stay rate were 4.8% and 15.75%, respectively. The highest unnecessary hospitalization rates were in nuclear medicine (50%).


CONCLUSIONS
It was concluded that the inappropriate hospitalization rate and inappropriate stay rates were 4.8% and 15.75%, respectively.
Demir
Cesim
C
Department of Health Services Management, Gulhane Military Medical Academy, Etlik-Ankara, Turkey.
Teke
Kadir
K
Fedai
Turan
T
Kenar
Levent
L
Bilgic
Hayati
H
Sen
Dervis
D
D003657:Decision Making; D003697:Delphi Technique; D005260:Female; D006300:Health Services Misuse / Q000706:statistics & numerical data*; D006302:Health Services Research; D006760:Hospitalization / Q000706:statistics & numerical data*; D006772:Hospitals, Military / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay; D008297:Male; D012189:Retrospective Studies; D014421:Turkey