Current level and determinants of inappropriate admissions to township hospitals under the new rural cooperative medical system in China: A cross-sectional study

BMC Health Services Research

Volumn 14, Issue 1, 2014, Pages

  Zhang, Yan ^a   Chen, Yingchun ^a   Zhang, Xiang ^a   Zhang, Liang ^a  

^a HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY   (China)

Author keywords

Appropriateness evaluation protocol; Inappropriate admission; New rural cooperative medical system; Rural China; Township hospital

Indexed keywords

ADULT; CHINA; CROSS-SECTIONAL STUDY; FEMALE; HEALTH SERVICE; HOSPITAL; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; MALE; MIDDLE AGED; PATIENT REFERRAL; RURAL POPULATION; STATISTICAL MODEL; YOUNG ADULT;

ADULT; CHINA; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH SERVICES MISUSE; HOSPITALIZATION; HOSPITALS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; PATIENT ADMISSION; REFERRAL AND CONSULTATION; RURAL POPULATION; YOUNG ADULT;

EID: 84988596749     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-014-0649-3     Document Type: Article

References (38)

1. Gertman PM, Restuccia JD: The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care. Med Care 1981, 19:855-871.
2. Lei X, Lin W: The New Cooperative Medical Scheme in rural China: does more coverage mean more service and better health? Health Econ 2009, 18(Suppl 2):S25-46.
3. NHFPC NHaFPCoC: 2013 China Statistics Yearbook of Health and Family Planning. Beijing: Peking Union Medical College Press. 2013.
4. Meng Q, Xu L, Zhang Y, Qian J, Cai M, Xin Y, Gao J, Xu K, Boerma JT, Barber SL: Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study. Lancet 2012, 379:805-814.
5. Long Q, Klemetti R, Wang Y, Tao F, Yan H, Hemminki E: High Caesarean section rate in rural China: is it related to health insurance (New Co-operative Medical Scheme)? Soc Sci Med 2012, 75:733-737.
6. Han B YZ, Liao X, Shen F, Hao X, Han B, Yuan ZK, Liao XB, Shen FM, Hao X, Xiao YC, Hong Y: Investigation on the medical service demand and utilization of farmers under NRCMS, Jiangxi: Four years tracking study. Chi j Health Manag 2009, 24:483-485.
7. Lei JQH: Research on the Inpatient utilization and its influencing factors under NRCMS in HaiRMB, Ningxia. J Ningxi Med Univ 2011, 33:345-348.
8. Cheng Xiaoming LW: Chapter 2: Health service demand inn: Health Economics. 2 Edition. Bejing: People's Medical Publish House. 2008
9. Alarcon RD, Walter-Ryan WG, Shaw L: Inappropriate admissions to psychiatric wards. South Med J 1985, 78:827-832.
10. Yip WCM, Hsiao W, Meng QY, Chen W, Sun XM: Realignment of incentives for health-care providers in China. Lancet 2010, 375:1120-1130.
11. Jing W, Otten H, Sullivan L, Lovell-Simons L, Granek-Catarivas M, Fritzsche K: Improving the Doctor-Patient Relationship In China: The Role Of Balint Groups. Int J Psychiatry In Med 2013, 46:417-427.
12. Martineau T, Gong YL, Tang SL: Changing medical doctor productivity and its affecting factors in rural China. Int J Health Plann Manage 2004, 19:101-111.
13. Chen W, Tang SL, Sun J, Ross-Degnan D, Wagner AK: Availability and use of essential medicines in China: manufacturing, supply, and prescribing in Shandong and Gansu provinces. Bmc Health Services Research 2010, 10:211.
14. Dunn RG: Scheduling elective admissions. Health Serv Res 1967, 2:181-215.
15. Mozes B, Schiff E, Modan B: Factors affecting inappropriate hospital stay. Qual Assur Health Care 1991, 3:211-217.
16. De Marco G, Mangani S, Correra A, Di Caro S, Tarallo L, De Franciscis A, Jefferson T, Guarino A: Reduction of inappropriate hospital admissions of children with influenza-like illness through the implementation of specific guidelines: a case-controlled study. Pediatrics 2005, 116:e506-511.
17. Ingold BB, Yersin B, Wietlisbach V, Burckhardt P, Bumand B, Bula CJ: Characteristics associated with inappropriate hospital use in elderly patients admitted to a general internal medicine service. Aging (Milano) 2000, 12:430-438.
18. Coast J, Peters TJ, Inglis A: Factors associated with inappropriate emergency hospital admission in the UK. Int J Qual Health Care 1996, 8:31-39.
19. Brown PH, Theoharides C: Health-seeking behavior and hospital choice in China's New Cooperative Medical System. Health Econ 2009, 18(Suppl 2):S47-64.
20. Payne SM: Identifying and managing inappropriate hospital utilization: a policy synthesis. Health Serv Res 1987, 22:709-769.
21. McClain JO, Riedel DC: Screening for utilization review: on the use of explicit criteria and non-physicians in case selection. Am J Public Health 1973, 63:247-251.
22. Restuccia JD: The evolution of hospital utilization review methods in the United States. Int J Qual Health Care 1995, 7:253-260.
23. Payne BC: Use of the criteria approach to measurement of effectiveness of hospital utilization. Jama 1966, 196:1066-1068.
24. Morehead MA: The medical audit as an operational tool. Am J Public Health Nations Health 1967, 57:1643-1656.
25. 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.
26. Liberati A, Apolone G, Lang T, Lorenzo S: A European project assessing the appropriateness of hospital utilization: background, objectives and preliminary results. The Project Steering Group and the Coordinating Center. Int J Qual Health Care 1995, 7:187-199.
27. Lang T, Liberati A, Tampieri A, Fellin G, Gonsalves Mda L, Lorenzo S, Pearson M, Beech R, Santos-Eggimann B: A European version of the Appropriateness Evaluation Protocol. Goals and presentation. The BIOMED I Group on Appropriateness of Hospital Use. Int J Technol Assess Health Care 1999, 15:185-197.
28. Lavis JN, Anderson GM: Appropriateness in health care delivery: definitions, measurement and policy implications. CMAJ 1996, 154:321-328.
29. Kaplan RS, Lave LB: Patient incentives and hospital insurance. Health Serv Res 1971, 6:288-300.
30. Davis JE: Day surgery: a viable alternative. Aorn j 1974, 19:641-647.
31. Emil S, Taylor M, Ndiforchu F, Nguyen N: What are the true advantages of a pediatric appendicitis clinical pathway? Am Surg 2006, 72:885-889.
32. Panis LJ, Verheggen FW, Pop P: To stay or not to stay. The assessment of appropriate hospital stay: a Dutch report. Int J Qual Health Care 2002, 14:55-67.
33. H G: Mutillevel statistical models. 3rd ed. 2003.
34. GHR J: Improved approximations for multilevel models with binary responses. J Royal Stat Soc 1996, 159:505-513.
35. Xu LWX, Liu D, Sun Q: Study on the measurements of unnecessary health services. Chi J Hosp Adm 2001, 19:150-152.
36. Purdy S, Griffin T: Reducing hospital admissions. BMJ 2008, 336:4-5.
37. Rodriguez-Vera J, de la Llave EP: Inappropriate admissions. J R Soc Med 2002, 95:111.
38. San Romain C, Guil M, Fernández S: Inappropriate admissions and stays in internal medicine. Med Clin (Barc). 2002, 118:157.