Estimation of Direct Financial Burden of Unnecessary Admission and Stay in the Internal and Surgical Wards of Teaching Hospitals in Yazd City:2021

Jafari, Hasan; Ameri, Hossein; Askari, Roohollah; Madadizadeh, Farzan; Miankoohi, Elham

doi:10.30476/jhmi.2023.96021.1139

Estimation of Direct Financial Burden of Unnecessary Admission and Stay in the Internal and Surgical Wards of Teaching Hospitals in Yazd City:2021

Document Type : Original Article

Authors

Hasan Jafari ¹

Hossein Ameri ²

Roohollah Askari ¹

Farzan Madadizadeh ³

Elham Miankoohi ⁴

¹ Health Policy and Management Research Center, Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

² Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

³ Center for healthcare Data modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

⁴ department of health services management, School of public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

10.30476/jhmi.2023.96021.1139

Abstract

Introduction: All managers should strive to make the most of the available facilities to avoid wasting resources. This study aimed to estimate the direct financial burden of unnecessary admissions and stay days in the Internal and Surgical Wards of Teaching Hospitals in Yazd City.
Methods: A total of 272 cases were selected using the stratified sampling method in 2021, and each hospital was considered as a statistical classctedcity:2021. Protocol Evaluation Appropriateness was used to collect the data. Multiple logistic regression analysis was used to determine the impact of demographic variables on the type of admission and also on the type of stay day through SPSS22.
Results: The results showed that 5.5% of admissions and 19.4% of stay day were deemed unnecessary, and the chance of unnecessary admission in the surgical ward compared to the internal ward was about 75% (p = 0.037, OR 0.25) and in patients with basic insurance was about 74% lower than those without basic insurance. The cost of unnecessary admission and stay was estimated at 310.294.000 IR Rials.
Conclusions: There is a need to establish interaction between the health insurance organization and other basic insurance organizations with managers and officials of hospitals and monitor the cases, so that admissions and inappropriate hospital days are reduced.

Keywords

Financial Management

Hospital

Hospital Admission

Length of Stay

Subjects