چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Background: To achieve efciency and high quality in health systems, the appropriate use of hospital services is essential. We identifed the initiatives intended to manage adult hospital services and reduce unnecessary hospital use among the general adult population. Methods: We systematically reviewed studies published in English using fve databases (PubMed, ProQuest, Scopus, Web of Science, and MEDLINE via Ovid). We only included studies that evaluated interventions aiming to reduce the use of hospital services or emergency department, frequency of hospital admissions, length of hospital stay, or the use of diagnostic tests in a general adult population. Studies reporting no relevant outcomes or focusing on a spe‑ cifc patient population or children were excluded. Results: In total, 64 articles were included in the systematic review. Nine utilisation management methods were identifed: care plan, case management, care coordination, utilisation review, clinical information system, physician profling, consultation, education, and discharge planning. Primary case management was shown to efectively reduce emergency department use. Care coordination reduced 30-day post-discharge hospital readmission or emer‑ gency department visit rates. The pre-admission review program decreased elective admissions. The physician profl‑ ing, concurrent review, and discharge planning efectively reduced the length of hospital stay. Twenty three studies that evaluated costs, reported cost savings in the hospitals. Conclusions: Utilisation management interventions can decrease hospital use by improving the use of communitybased health services and improving the quality of care by providing appropriate care at the right time and at the right level of care. |
| نویسنده | نفر چندم مقاله |
|---|---|
| لیلا دشمنگیر | اول |
| رقیه خبیری نعمتی | دوم |
| ادریس کاکه مم | پنجم |
| حسین جباری بیرامی | سوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Doshmangir et al.pdf | 1401/03/16 | 1392110 | دانلود |
