Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study

Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine r...
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Autor*in:	Yan Zhang [verfasserIn] Liang Zhang [verfasserIn] Haomiao Li [verfasserIn] Yingchun Chen [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	New Rural Cooperative Medical System inappropriate admission county hospital appropriateness evaluation protocol rural China

Übergeordnetes Werk:	In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 15(2018), 6, p 1050
Übergeordnetes Werk:	volume:15 ; year:2018 ; number:6, p 1050

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/ijerph15061050

Katalog-ID:	DOAJ041355318

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allfieldsSound	10.3390/ijerph15061050 doi (DE-627)DOAJ041355318 (DE-599)DOAJ41652651065f4ea1ac244089f2ea0511 DE-627 ger DE-627 rakwb eng Yan Zhang verfasserin aut Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by stratified cluster sampling and evaluated for appropriateness using the protocol in 2016. The determinants of inappropriate admissions were analysed by two-level logistic regression. The overall inappropriate admission rate was 15.2%. Patients aged <20 years (19.3%), patients in the paediatrics department (22.9%), patients with lower disease severity (22.3%), and patients without complications (17.0%) were more likely to have been inappropriately admitted than other groups. Age, treating department, disease severity, causes of hospitalisation, complications, and length of stay were determinants of inappropriate admission. Policymakers must act to reduce the high prevalence of inappropriate admissions in county hospitals in rural China, by guiding patients to seek primary care and changing the motivating mechanism of these hospitals. New Rural Cooperative Medical System inappropriate admission county hospital appropriateness evaluation protocol rural China Medicine R Liang Zhang verfasserin aut Haomiao Li verfasserin aut Yingchun Chen verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 15(2018), 6, p 1050 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:15 year:2018 number:6, p 1050 https://doi.org/10.3390/ijerph15061050 kostenfrei https://doaj.org/article/41652651065f4ea1ac244089f2ea0511 kostenfrei http://www.mdpi.com/1660-4601/15/6/1050 kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 6, p 1050
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author	Yan Zhang
spellingShingle	Yan Zhang misc New Rural Cooperative Medical System misc inappropriate admission misc county hospital misc appropriateness evaluation protocol misc rural China misc Medicine misc R Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study
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topic_title	Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study New Rural Cooperative Medical System inappropriate admission county hospital appropriateness evaluation protocol rural China
topic	misc New Rural Cooperative Medical System misc inappropriate admission misc county hospital misc appropriateness evaluation protocol misc rural China misc Medicine misc R
topic_unstemmed	misc New Rural Cooperative Medical System misc inappropriate admission misc county hospital misc appropriateness evaluation protocol misc rural China misc Medicine misc R
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title	Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study
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title_sort	determinants of inappropriate admissions in county hospitals in rural china: a cross-sectional study
title_auth	Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study
abstract	Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by stratified cluster sampling and evaluated for appropriateness using the protocol in 2016. The determinants of inappropriate admissions were analysed by two-level logistic regression. The overall inappropriate admission rate was 15.2%. Patients aged <20 years (19.3%), patients in the paediatrics department (22.9%), patients with lower disease severity (22.3%), and patients without complications (17.0%) were more likely to have been inappropriately admitted than other groups. Age, treating department, disease severity, causes of hospitalisation, complications, and length of stay were determinants of inappropriate admission. Policymakers must act to reduce the high prevalence of inappropriate admissions in county hospitals in rural China, by guiding patients to seek primary care and changing the motivating mechanism of these hospitals.
abstractGer	Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by stratified cluster sampling and evaluated for appropriateness using the protocol in 2016. The determinants of inappropriate admissions were analysed by two-level logistic regression. The overall inappropriate admission rate was 15.2%. Patients aged <20 years (19.3%), patients in the paediatrics department (22.9%), patients with lower disease severity (22.3%), and patients without complications (17.0%) were more likely to have been inappropriately admitted than other groups. Age, treating department, disease severity, causes of hospitalisation, complications, and length of stay were determinants of inappropriate admission. Policymakers must act to reduce the high prevalence of inappropriate admissions in county hospitals in rural China, by guiding patients to seek primary care and changing the motivating mechanism of these hospitals.
abstract_unstemmed	Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by stratified cluster sampling and evaluated for appropriateness using the protocol in 2016. The determinants of inappropriate admissions were analysed by two-level logistic regression. The overall inappropriate admission rate was 15.2%. Patients aged <20 years (19.3%), patients in the paediatrics department (22.9%), patients with lower disease severity (22.3%), and patients without complications (17.0%) were more likely to have been inappropriately admitted than other groups. Age, treating department, disease severity, causes of hospitalisation, complications, and length of stay were determinants of inappropriate admission. Policymakers must act to reduce the high prevalence of inappropriate admissions in county hospitals in rural China, by guiding patients to seek primary care and changing the motivating mechanism of these hospitals.
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title_short	Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study
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