This document illustrated the practical and theoretical work of a group of epidemiologists and physicians that have evaluated the necessity for admission to hospital and for hospital stay in the Lombardia Region. In the first part of the document, the authors discuss the need for standardized approaches to the revision and evaluation of hospital care and analyze the methods proposed in the literature. In the second part they present a few studies produced by the group with regard to admission criteria and the use of resources both in general medical and surgical wards, and in specific situations like the care of AIDS patients. Through the experience derived from these studies, the group has produced a new evaluation tool (PRUO) that extends the original AEP questionnaire introducing a list of possible reasons for the apparently unnecessary admissions and hospital days. The third part of the document discusses theoretical and methodological aspects such as the meaning of the term 'appropriateness', the difficulty of validating the instruments proposed to measure it, and the implications of specific aspects of study design for the comparability of results. The final section is devoted to the possible development of appropriateness of hospital use in Italy, discussing both the perspectives for single hospitals and for wider sectors of the NHS.
|Translated title of the contribution||Evaluating the appropriateness of hospitals use|
|Number of pages||19|
|Journal||Ricerca e Pratica|
|Publication status||Published - 1994|
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