Patterns of unjustified pediatric hospital stay

E. Schiff, B. Modan, Z. Barzilay, Z. Blumstein, Z. Fuchs, B. Mozes*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We examined the pattern of hospital stay in a pediatric division of a major teaching medical center in terms of justification of the hospital stay. Hospital stay days of all children admitted during 3 consecutive weeks were assessed prospectively according to predetermined criteria. Of the 2,048 hospital stay days 26% were unjustified, primarily due to unnecessary in-hospital follow-up and diagnostic evaluation that should have been carried out on an ambulatory basis. Logistic regression analysis revealed that neurological disorders and trauma, age younger than 3 years, specific ward, and the attending physician were significant predictors for unjustified hospital stay days. This method is proposed as a means for optimal reduction of redundant hospital stay and concomitant unnecessary economic burden.

Original languageEnglish
Pages (from-to)33-36
Number of pages4
JournalIsrael Journal of Medical Sciences
Volume29
Issue number1
StatePublished - 1993
Externally publishedYes

Keywords

  • Criteria
  • Health policy
  • Hospital stay days
  • Pediatric hospitalization

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