ArticleJournal of the Royal Society of Medicine2001
Inappropriate admissions: thoughts of patients and referring doctors.
Article in Journal of the Royal Society of Medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Strategies for utilisation management of hospital services: a systematic review of interventions.Globalization and health · 2022Pooled it
- Is there a change in the appropriateness of admission after patients were admitted? Evidence from four county hospitals in rural China.Frontiers in public health · 2023Article
- Rate and causes of inappropriate stays and the resulting financial burden in a single specialty burns hospital.BMC health services research · 2022Article
- Predictors and reasons for inappropriate hospitalization days for surgical patients in a tertiary hospital in Wuhan, China: a retrospective study.BMC health services research · 2021Article
- Distribution of the Indicator of the Appropriate Admission of Patients with Circulatory System Diseases to County Hospitals in Rural China: A Cross-Sectional Study.International journal of environmental research and public health · 2019Article
- Determinants of inappropriate admission of elderly people in county-level hospitals: a cross-sectional study in rural China.BMJ open · 2019Article
- Article
- Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study.International journal of environmental research and public health · 2018Article
- Article
- Quick outpatient diagnosis in small district or general tertiary hospitals: A comparative observational study.Medicine · 2017Observational
- Unintentional weight loss: Clinical characteristics and outcomes in a prospective cohort of 2677 patients.PloS one · 2017Article
- Perception of quality of care of patients with potentially severe diseases evaluated at a distinct quick diagnostic delivery model: a cross-sectional study.BMC health services research · 2015Article
- Predictors of inappropriate hospital stay: experience from Iran.Global journal of health science · 2014Article
- The Appropriateness Evaluation Protocol is a poor predictor of in-hospital mortality.Irish journal of medical science · 2014Article
- The choice of alternatives to acute hospitalization: a descriptive study from Hallingdal, Norway.BMC family practice · 2013Article
- "Hidden" value: how indirect benefits of health information exchange further promote sustainability.American health & drug benefits · 2012Article
- Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network.BMC health services research · 2012Review
- Outpatient Quick Diagnosis Units for the evaluation of suspected severe diseases: an observational, descriptive study.Clinics (Sao Paulo, Brazil) · 2011Article
- A qualitative examination of inappropriate hospital admissions and lengths of stay.BMC health services research · 2009Article
- Appropriateness of acute admissions and last in-patient day for patients with long term neurological conditions.BMC health services research · 2009Article
Corrections and comments
- Commented on by
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Research on inappropriate hospital admissions has tended to neglect the views of the referring doctors and the patients. In this study, the Appropriateness Evaluation Protocol was applied to a random sample of 102 emergency medical admissions. The patients and doctors were then presented with a list of possible alternatives to admission that might have been used at the point of referral. Case notes were available for 88 patients. As judged by these, 28% of admissions were inappropriate, the commonest reason being the potential for treatment or tests to have been performed as outpatient procedures; next commonest was the possibility of lower level care. The response rate to the questionnaires was about two-thirds, for both doctors and patients. Of the general practitioners and casualty doctors who responded, 60% specified alternatives to admission that they would have considered, and the equivalent figure for patients was 70%. For both groups the major preferences were same-day outpatient assessment and admission to a community hospital. Referring doctors and patients, in this survey, favoured alternatives to acute medical care in proportions much higher than that of supposedly inappropriate admission.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.