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Real Association of Factors with Inappropriate Hospital Days

机译:真实的因素与不适当的医院日子

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Several studies of inappropriate (in the sense of the AEP) hospital days highlighted associations between two factors (rate of inappropriateness and reasons for inappropriateness, rate of inappropriateness and appropriate setting of care,...). The aim of this communication is to present a study on real associations, at constant factor, between five factors associated with hospital inappropriate days medical management process, reason for inappropriateness, scheduled admission, rate of inappropriateness, length of stay. We used the European version of Appropriateness Evaluation Protocol for evaluation of inappropriate days and the French protocol ;for analysis of inappropriate days. The study set in three Parisian hospitals, four clinical departments, three specialities. 523 patients were included in the study, 5663 days were evaluated on a wide variety of pathologies 27. Medical Management Processes. Results show that there are real associations (elimination of transitive associations) between five factors medical management process and discharge processes, reason for inappropriateness, scheduled admission, rate of inappropriate days, length of stay. Multiple Correspondence Analysis on all "groups of contiguous days related with the same reason for inappropriateness" shows five profiles of queues integrating various medical management processes.
机译:几项关于不恰当的研究(在AEP的意义上)医院日突出了两个因素之间的协会(不恰当性和不赞成的原因,不赞成的率和适当的护理环境,......)。这种沟通的目的是展示对实际协会的研究,以恒定因素在与医院不恰当的日子医学管理进程相关的五个因素之间,不恰当,预定入学,不恰当性率,逗留时间。我们使用欧洲版的适当性评估议定书,以评估不恰当的日子和法语议定书;用于分析不恰当的日子。这项研究设定在三个巴黎医院,四个临床部门,三个专业。 523例患者纳入该研究中,在各种病态27中评估5663天。医疗管理程序。结果表明,有一个实际协会(消除渡步协会)五因素医学管理流程和卸货流程,不恰当的原因,预定入学,不恰当的日子,逗留时间。关于所有“与不恰当性的相同原因相关的连续天组”的多个对应分析表明了整合各种医疗管理流程的队列的五个简档。

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