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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

GUANCHE GARCELL, Humberto et al. Justification of admission in the Internal Medicine service of “Joaquin Albarrán” Hospital. Rev cubana med [online]. 2005, vol.44, n.3-4. ISSN 0034-7523.

A descriptive study of patients admitted was conducted to determine the justification of admissions in the Internal Medicine service as an element to make interventions that increase the quality and efficiency of the health services. The Adapting Evaluation Protocol was applied to 454 patients. The statistical technique of frequency distribution analysis, mean comparison and independence tests was used to show the differences between the groups according to the admission adapting .It was found that 18.7% of the admissions were considered inadequate (INA). The individuals that were inadequately admitted were younger (53.5 ± 18.2 years old) than those with adequate admissions (62.1 ± 18.9 years old), and their lengths of stay were slightly higher (9.8 vs 8.5 days). Patients with inadequate admissions used 20 % of the total of days/patients of the period (833 days/patients), they were admitted basically on Monday, Tuesday, Wednesday and Friday, and they generally came from health areas that were not assigned to the hospital. It was concluded that the frequent inadequate admission of patients requires a review of organizational aspects of the service and institution leading to a better efficiency of hospital management.

Palabras clave : Hospital use adapting; avoidable hospitalization; health care quality; management efficiency.

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