Inappropriateness of hospital days and causes of failure in a Gastroenterology and Internal Medicine ward
To analyse patients' features linked to hospital inappropriateness and to highlight causes of inappropriate days in a Gastroenterology and Internal Medicine ward of a teaching hospital. Appropriateness of patients' hospital days (2 months activity) was assessed using the French version of...
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| Veröffentlicht in: | Gastroentérologie clinique et biologique 2002-01, Vol.26 (1), p.29-37 |
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| container_title | Gastroentérologie clinique et biologique |
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| creator | Menu-Branthomme, Axelle Benamouzig, Robert Bejou, Bakthiar Coste, Thierry Rautureau, Jacques Huet, Bernard |
| description | To analyse patients' features linked to hospital inappropriateness and to highlight causes of inappropriate days in a Gastroenterology and Internal Medicine ward of a teaching hospital.
Appropriateness of patients' hospital days (2 months activity) was assessed using the French version of criteria of the Appropriateness Evaluation Protocol. Reasons of inappropriate hospital days were identified through a questionnaire based on patients' need.
Two hundred and twenty patients were studied. Among the 2151 hospital days assessed, 880 (41%) were inappropriate. Two different groups of inappropriate stays were brought up. In the first group, the inappropriate period duration was short ( 5 days) and 710 days (33%) were inappropriate. Patients were elderly, lived alone and their disease did not concern the gastrointestinal tract. During inappropriate days, they expected access to less technical facilities than the short stay medical ward.
The socio-demographic and medical features of the patients from the long duration inappropriateness group should help to limit inappropriate hospital days: a significant economic and organizational stake for patients, hospital and public interest. |
| format | Article |
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Appropriateness of patients' hospital days (2 months activity) was assessed using the French version of criteria of the Appropriateness Evaluation Protocol. Reasons of inappropriate hospital days were identified through a questionnaire based on patients' need.
Two hundred and twenty patients were studied. Among the 2151 hospital days assessed, 880 (41%) were inappropriate. Two different groups of inappropriate stays were brought up. In the first group, the inappropriate period duration was short (<=5 days) and patients were not different from those of the appropriate group. In the second group, the inappropriate period duration was long ( > 5 days) and 710 days (33%) were inappropriate. Patients were elderly, lived alone and their disease did not concern the gastrointestinal tract. During inappropriate days, they expected access to less technical facilities than the short stay medical ward.
The socio-demographic and medical features of the patients from the long duration inappropriateness group should help to limit inappropriate hospital days: a significant economic and organizational stake for patients, hospital and public interest.</description><identifier>ISSN: 0399-8320</identifier><identifier>PMID: 11938037</identifier><language>fre</language><publisher>France</publisher><subject>Adult ; Aged ; Cohort Studies ; Europe ; Female ; France ; Gastroenterology ; Hospitalization ; Humans ; Internal Medicine ; Length of Stay ; Longitudinal Studies ; Male ; Middle Aged ; Needs Assessment ; Surveys and Questionnaires</subject><ispartof>Gastroentérologie clinique et biologique, 2002-01, Vol.26 (1), p.29-37</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11938037$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Menu-Branthomme, Axelle</creatorcontrib><creatorcontrib>Benamouzig, Robert</creatorcontrib><creatorcontrib>Bejou, Bakthiar</creatorcontrib><creatorcontrib>Coste, Thierry</creatorcontrib><creatorcontrib>Rautureau, Jacques</creatorcontrib><creatorcontrib>Huet, Bernard</creatorcontrib><title>Inappropriateness of hospital days and causes of failure in a Gastroenterology and Internal Medicine ward</title><title>Gastroentérologie clinique et biologique</title><addtitle>Gastroenterol Clin Biol</addtitle><description>To analyse patients' features linked to hospital inappropriateness and to highlight causes of inappropriate days in a Gastroenterology and Internal Medicine ward of a teaching hospital.
Appropriateness of patients' hospital days (2 months activity) was assessed using the French version of criteria of the Appropriateness Evaluation Protocol. Reasons of inappropriate hospital days were identified through a questionnaire based on patients' need.
Two hundred and twenty patients were studied. Among the 2151 hospital days assessed, 880 (41%) were inappropriate. Two different groups of inappropriate stays were brought up. In the first group, the inappropriate period duration was short (<=5 days) and patients were not different from those of the appropriate group. In the second group, the inappropriate period duration was long ( > 5 days) and 710 days (33%) were inappropriate. Patients were elderly, lived alone and their disease did not concern the gastrointestinal tract. During inappropriate days, they expected access to less technical facilities than the short stay medical ward.
The socio-demographic and medical features of the patients from the long duration inappropriateness group should help to limit inappropriate hospital days: a significant economic and organizational stake for patients, hospital and public interest.</description><subject>Adult</subject><subject>Aged</subject><subject>Cohort Studies</subject><subject>Europe</subject><subject>Female</subject><subject>France</subject><subject>Gastroenterology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Length of Stay</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Surveys and Questionnaires</subject><issn>0399-8320</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMFOwzAQRH0A0VL4BeQTt0heO66TI6qgVCriAudoa2_AKLWDnQj17wltOa1G82aknQs2F6qui0pJMWPXOX8JIarawBWbAdSqEsrMmd8E7PsU--RxoEA589jyz5h7P2DHHR4yx-C4xTHT0WvRd2Mi7gNHvsY8pEhhoBS7-HE4sps_Gab0CzlvfSD-g8ndsMsWu0y357tg70-Pb6vnYvu63qwetkUPqh4K7Zx1oMCYFizArrRLWCrtdAlStEIqJR1KACU0iLIyVWXMZOBSW0vSlWrB7k-901ffI-Wh2ftsqeswUBxzY0DXUtcwgXdncNztyTXTBHtMh-Z_HPULLOpfyQ</recordid><startdate>200201</startdate><enddate>200201</enddate><creator>Menu-Branthomme, Axelle</creator><creator>Benamouzig, Robert</creator><creator>Bejou, Bakthiar</creator><creator>Coste, Thierry</creator><creator>Rautureau, Jacques</creator><creator>Huet, Bernard</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200201</creationdate><title>Inappropriateness of hospital days and causes of failure in a Gastroenterology and Internal Medicine ward</title><author>Menu-Branthomme, Axelle ; Benamouzig, Robert ; Bejou, Bakthiar ; Coste, Thierry ; Rautureau, Jacques ; Huet, Bernard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-5ddcd13177f1c11b4c61635d54120f02332da21130510487887720fa65cce2d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cohort Studies</topic><topic>Europe</topic><topic>Female</topic><topic>France</topic><topic>Gastroenterology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Length of Stay</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Surveys and Questionnaires</topic><toplevel>online_resources</toplevel><creatorcontrib>Menu-Branthomme, Axelle</creatorcontrib><creatorcontrib>Benamouzig, Robert</creatorcontrib><creatorcontrib>Bejou, Bakthiar</creatorcontrib><creatorcontrib>Coste, Thierry</creatorcontrib><creatorcontrib>Rautureau, Jacques</creatorcontrib><creatorcontrib>Huet, Bernard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Gastroentérologie clinique et biologique</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Menu-Branthomme, Axelle</au><au>Benamouzig, Robert</au><au>Bejou, Bakthiar</au><au>Coste, Thierry</au><au>Rautureau, Jacques</au><au>Huet, Bernard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inappropriateness of hospital days and causes of failure in a Gastroenterology and Internal Medicine ward</atitle><jtitle>Gastroentérologie clinique et biologique</jtitle><addtitle>Gastroenterol Clin Biol</addtitle><date>2002-01</date><risdate>2002</risdate><volume>26</volume><issue>1</issue><spage>29</spage><epage>37</epage><pages>29-37</pages><issn>0399-8320</issn><abstract>To analyse patients' features linked to hospital inappropriateness and to highlight causes of inappropriate days in a Gastroenterology and Internal Medicine ward of a teaching hospital.
Appropriateness of patients' hospital days (2 months activity) was assessed using the French version of criteria of the Appropriateness Evaluation Protocol. Reasons of inappropriate hospital days were identified through a questionnaire based on patients' need.
Two hundred and twenty patients were studied. Among the 2151 hospital days assessed, 880 (41%) were inappropriate. Two different groups of inappropriate stays were brought up. In the first group, the inappropriate period duration was short (<=5 days) and patients were not different from those of the appropriate group. In the second group, the inappropriate period duration was long ( > 5 days) and 710 days (33%) were inappropriate. Patients were elderly, lived alone and their disease did not concern the gastrointestinal tract. During inappropriate days, they expected access to less technical facilities than the short stay medical ward.
The socio-demographic and medical features of the patients from the long duration inappropriateness group should help to limit inappropriate hospital days: a significant economic and organizational stake for patients, hospital and public interest.</abstract><cop>France</cop><pmid>11938037</pmid><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0399-8320 |
| ispartof | Gastroentérologie clinique et biologique, 2002-01, Vol.26 (1), p.29-37 |
| issn | 0399-8320 |
| language | fre |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Cohort Studies Europe Female France Gastroenterology Hospitalization Humans Internal Medicine Length of Stay Longitudinal Studies Male Middle Aged Needs Assessment Surveys and Questionnaires |
| title | Inappropriateness of hospital days and causes of failure in a Gastroenterology and Internal Medicine ward |
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