ArticleCost effectiveness and resource allocation : C/E2019
Effect of inappropriate admissions on hospitalization performance in county hospitals: a cross-sectional study in rural China.
Article in Cost effectiveness and resource allocation : C/E, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Key factors associated with China's basic medical insurance fund revenue-expenditure balance: a grey relational analysis.Cost effectiveness and resource allocation : C/E · 2025Article
- Prevalence of Inappropriate Hospital Admission and Hospitalization Days in EMRO Region countries: A Systematic and Meta-analysis Study.International journal of preventive medicine · 2025Review
- Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.BMC medicine · 2023Observational
- 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
- Advance care plans in UK care home residents: a service evaluation using a stepped wedge design.Age and ageing · 2022Article
- Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Is There A Non-Essential Hospitalization Day In Inpatients With Diabetes Under Medical Insurance? Evidence From An Observational Study In China.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019Article
- Appropriateness of Hospital Admission and Length of Stay in the Pediatric Department of a Tertiary Care Hospital in West Bengal.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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11 authors.
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Abstract
backgroundInappropriate admissions cause excessive utilization of health services compared with outpatient services. However, it is still unclear whether inappropriate admissions cause excessive use of health services compared with appropriate admissions. This study aims to clarify the differences in the hospitalization performances between appropriately admitted inpatients and inappropriately admitted inpatients.
methodsA total of 2575 medical records were obtained after cluster sampling in three counties. Admission appropriateness was assessed by appropriateness evaluation protocol (AEP). The propensity score matching (PSM) was computed to match patients in treatment and control group with similar characteristics, and to examine the differences in the utilization of hospitalization services between the two groups. The samples were matched in two major steps in this study. In the first step, total samples were matched to examine the differences in the utilization of hospital services between the two groups using 15 individual covariates. In the second step, PSM was computed to analyze the differences between the two groups in different disease systems using 14 individual covariates.
resultsFor the whole sample, the inappropriate group has lower expenditure of hospitalization (EOH) (difference = - 0.12, p = 0.003) and shorter length of stay (LOS) (difference = - 0.73, p = 0.016) than the appropriate group. For number of clinical inspection (NCI), it has no statistically significant difference (difference = - 0.39, p = 0.082) between the two groups. Among different disease systems, no significant differences were observed between the two groups among EOH, LOS and NCI, except that the EOH was lower in the inappropriate group than that in the appropriate group for surgical disease (difference = - 0.169, p = 0.043).
conclusionInappropriate admissions have generated excessive health service utilization compared with appropriate admissions, especially for internal diseases. The departments in charge of medical services and hospital managers should pay high attention to the health service utilization of the inappropriately admitted inpatients. Relevant medical policies should be designed or optimized to increase the appropriateness in health care service delivery and precision in clinical pathway management.
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