The cost of inappropriate admissions: A study of health benefits and resource utilization in a department of internal medicine

Journal of Internal Medicine

Volumn 246, Issue 4, 1999, Pages 379-387

  Eriksen, B O ^e   Kristiansen, I S ^f   Nord, E ^b   Pape, J F ^g   Almdahl, S M ^h   Hensrud, A ^c,d   Jaeger S ^a  

^a UNIVERSITY OF TROMSØ   (Norway)

^b NORWEGIAN INSTITUTE OF PUBLIC HEALTH   (Norway)

^c Kommunelegekontoret i Bardu   (Iran)

^d NORDLAND HOSPITAL   (Norway)

^e UNIVERSITY HOSPITAL OF NORTH NORWAY   (Norway)

^f Centre for Health and Social Policy   (Denmark)

^g TELEMARK HOSPITAL   (Norway)

^h OSLO UNIVERSITY HOSPITAL   (Norway)

Author keywords

Cost analysis; Health benefit; Hospital; Internal medicine; Quality of life

Indexed keywords

ARTICLE; COST BENEFIT ANALYSIS; COST CONTROL; HEALTH CARE POLICY; HEALTH INSURANCE; HOSPITAL ADMISSION; HOSPITAL RUNNING COST; HUMAN; LENGTH OF STAY; PRIORITY JOURNAL; QUALITY ADJUSTED LIFE YEAR;

EID: 0032834951     PISSN: 09546820     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2796.1999.00526.x     Document Type: Article

References (22)

1. 1 Payne SM. Identifying and managing inappropriate hospital utilization: a policy synthesis. Health Serv Res 1987; 22: 709-69.
2. 2 Siu AL, Sonnenberg FA, Manning WG et al. Inappropriate use of hospitals in a randomized trial of health insurance plans. N Engl J Med 1986; 315: 1259-66.
3. 3 Coast J, Inglis A, Franke S. Alternatives to hospital care: what are they and who should decide? Br Med J 1996; 312: 162-6.
4. 4 Davido A, Nicoulet I, Levy A, Lang T. Appropriateness of admission in an emergency department: reliability of assessment and causes of failure. Qual Assur Health Care 1991; 3: 227-34.
5. 5 Fellin G, Apolone G, Tampieri A et al. Appropriateness of hospital use: an overview of Italian studies. Int J Qual Health Care 1995; 7: 219-25.
6. 6 Alonso J, Munoz A, Anto JM. Using length of stay and inactive days in the hospital to assess appropriateness of utilisation in Barcelona, Spain. J Epidemiol Community Health 1996; 50: 196-201.
7. 7 Bentes M, Gonsalves ML, Santos M, Pina E. Design and development of a utilization review program in Portugal. Int J Qual Health Care 1995; 7: 201-12.
8. 8 Perneger TV, Chopard P, Sarasin FP et al. Risk factors for a medically inappropriate admission to a Department of Internal Medicine. Arch Intern Med 1997; 157: 1495-500.
9. 9 Eriksen BO, Kristiansen IS, Nord E et al. Does admission to a medical department improve patient life expectancy? J Clin Epidemiol 1997; 50: 987-95.
10. 10 Eriksen BO, Kristiansen IS, Nord E et al. Docs admission to a department of internal medicine improve patient quality of life?. J Intern Med 1998; 244: 397-404.
11. 11 Eriksen BO. Almdahl SM, Hensrud A et al. Assessing health benefit from hospitalisation: agreement between expert panels. Int J Technol Assess Health Care 1996; 12: 126-35.
12. 12 Torrance GW. Measurement of health state utilities for economic appraisal. J Health Economics 1986; 5: 1-30.
13. 13 Torrance GW, Feeny D. Utilities and quality-adjusted life years. Int J Technol Assess Health Care 1989; 5: 559-75.
14. 14 Jones J, Hunter D. Consensus methods for medical and health services research. Br Med J 1995; 311: 376-80.
15. 15 Drummond MF, O'Brien H, Stoddart GL. Torrance GW. Methods for the Economic Evaluation of Health Care Programmes, 2nd edn. Oxford: Oxford Medical Publications, 1997.
16. 16 Slåttebrekk OV. Hva koster pasienten? Trondheim: Norsk institutt for sykehusforskning 1990 NIS-Rapport 1/90.
17. 17 Efron B, Tibshirani RJ. An Introduction to the Bootstrap New York: Chapman & Hall, 1993.
18. 18 Doubilet P, Begg CB, Weinstein MC, Braun P, McNeil BJ. Probabilistic sensitivity analysis using Monte Carlo simulation. A practical approach. Med Desis Making 1985; 5: 157-77.
19. 19 Gertman PM, Restuccia JD. The Appropriateness Evaluation Protocol: a Technique for Assessing Unneccssary Days of Hospital Care. Med Care 1981; 19: 855-71.
20. 20 Strumwasser I, Paranjpe NV, Ronis DL, Share D, Sell LJ. Reliability and validity of utilization review criteria. Appropriateness Evaluation Protocol, Standardized Medreview Instrument, and Intensity-Severity-Discharge criteria. Med Care 1990; 28: 95-111.
21. 21 Coast J, Inglis A, Morgan K, Gray S, Kammerling M, Frankel S. The hospital admissions study in England: are there alternatives to emergency hospital admission? J Epidemiol Community Health 1995; 49: 194-9.
22. 22 Coast J. Appropriateness versus efficiency: the economics of utilisation review. Health Policy 1996; 36: 69-81.