EVALUATION ON ADMISSION RATES AND INEXPEDIENT HOSPITALIZATION DAYS AT VALIASR HOSPITAL IN MESHKIN SHAHR-USING THE AEP PROTOCOL

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GHASEMI BARGHI HAMID; AALI BABAK; azimi farhad

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Journal: HEALTH INSURANCE Year:2018 | Volume:1 | Issue:1-2 Page(s): 38-43

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Information Journal Paper

Title

EVALUATION ON ADMISSION RATES AND INEXPEDIENT HOSPITALIZATION DAYS AT VALIASR HOSPITAL IN MESHKIN SHAHR-USING THE AEP PROTOCOL

Author(s)

GHASEMI BARGHI HAMID | AALI BABAK | azimi farhad | Issue Writer Certificate

Keywords

OCCUPATIONAL EVALUATION PROTOCOL (AEP)

INEXPEDIENT ADMISSION

HOSPITALIZATION

HEALTH INSURANCE

HOSPITAL

Abstract

Introduction: Identifying the extent of misuse of health services in HOSPITALIZATION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"> HOSPITALIZATION is the first step in implementing health control and restriction programs without damage to the quality of these services. This study was carried out in Valiasr HOSPITAL of Meshkin shahr City with the aim of assessing the rate of admission and unnecessary HOSPITALIZATION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"> HOSPITALIZATION of insured persons and the amount of expenses incurred by this phenomenon to the HEALTH INSURANCE organization.Methods: This cross-sectional study was conducted in July 2016 in Valiasr HOSPITAL in Meskine Shahr. The statistical population in this study was composed of all insured persons covered by the HEALTH INSURANCE organization from all the funds referred to the HOSPITAL at the time of the study. Overall, 330 samples were selected for sampling in this study. An appropriateness Evaluation Protocol (AEP) was used for data collection.Results: The results obtained showed that, 56.33% of the insured persons (186 men) and 43.7% of the insured persons were HOSPITALized (144) were women. From the total of 330 evaluated admissions, 129 cases (39%) were inexpedient, with the highest inexpedient acceptance in the internal ward with 66% and the lowest uncontrolled acceptance was in the surgical ward with a 12% rate. In 2016, the HEALTH INSURANCE organization paid 6, 133, 840, 000 Rials for unplanned days of admission in these three parts.Conclusions: According to the results of this study, the AEP protocol has a good reputation for evaluating of admission and HOSPITALIZATION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"> HOSPITALIZATION days. The HEALTH INSURANCE organization and other insurer organizations are essential to reduce and optimize the number of admissions and inexpedient HOSPITALIZATION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"> HOSPITALIZATION days by applying the AEP protocol as a regulatory tool for evaluating HOSPITAL admissions documents.

Cites

Unnecessary hospital admissions in Iran: a systematic review and meta-analysis

References

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APA: Copy

GHASEMI BARGHI, HAMID, AALI, BABAK, & azimi, farhad. (2018). EVALUATION ON ADMISSION RATES AND INEXPEDIENT HOSPITALIZATION DAYS AT VALIASR HOSPITAL IN MESHKIN SHAHR-USING THE AEP PROTOCOL. HEALTH INSURANCE, 1(1-2 ), 38-43. SID. https://sid.ir/paper/265925/en

Vancouver: Copy

GHASEMI BARGHI HAMID, AALI BABAK, azimi farhad. EVALUATION ON ADMISSION RATES AND INEXPEDIENT HOSPITALIZATION DAYS AT VALIASR HOSPITAL IN MESHKIN SHAHR-USING THE AEP PROTOCOL. HEALTH INSURANCE[Internet]. 2018;1(1-2 ):38-43. Available from: https://sid.ir/paper/265925/en

IEEE: Copy

HAMID GHASEMI BARGHI, BABAK AALI, and farhad azimi, “EVALUATION ON ADMISSION RATES AND INEXPEDIENT HOSPITALIZATION DAYS AT VALIASR HOSPITAL IN MESHKIN SHAHR-USING THE AEP PROTOCOL,” HEALTH INSURANCE, vol. 1, no. 1-2 , pp. 38–43, 2018, [Online]. Available: https://sid.ir/paper/265925/en

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