Risk-Adjusted Hospitalization Rate in Public Hospitals in Costa Rica

A prolonged hospitalization constitutes an important hospital management problem. The purpose of this study is to calculate an index which identifies the hospitals with an inadequate hospital­ization management. The hospitalization adequacy index is calculated by dividing the observed hospitalizatio...

Descripción completa

Autor Principal: Morera-Salas, Melvin
Formato: info:eu-repo/semantics/article
Idioma: spa
Publicado: Editorial Pontificia Universidad Javeriana 2017
Acceso en línea: http://revistas.javeriana.edu.co/index.php/gerepolsal/article/view/18232
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
Sumario: A prolonged hospitalization constitutes an important hospital management problem. The purpose of this study is to calculate an index which identifies the hospitals with an inadequate hospital­ization management. The hospitalization adequacy index is calculated by dividing the observed hospitalizations by the expected hospitalizations in each hospital. The latter are calculated with a regression model which takes into account the socio-demographic and clinical characteristics of the patients. We use the basis of hospitalization discharges of the public healthcare system in Costa Rica for 2014. 43% of the hospitals have an inadequate hospitalization management, as they record more hospitalization days than expected according to the corresponding case load. We conclude that the clinical-management information of the Costa Rican public healthcare allows us to estimate a hospitalization adequacy index as to identify hospitals with an inadequate hospitalization management.