Developing of the appropriateness evaluation protocol for public hospitals in Iran
المؤلفون المشاركون
Delgoshaei, Bahram
Ravaghi, Hamid
Ismaili, Anvar
Seyedin, Husam
Salihi, Masud
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 17، العدد 3 (31 مارس/آذار 2015)، ص ص. 1-7، 7ص.
الناشر
تاريخ النشر
2015-03-31
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Employment of utilization review instruments is a method for managing costs and efficiency in the healthcare systems.
Objectives : This study developed an instrument for measuring the level of inappropriate acute hospital admissions and days of care in Iran.
Patients and Methods : The American version of the Appropriateness Evaluation Protocol (AEP) was modified, using the agreement method, by a multidisciplinary group of physicians.
We conducted a retrospective descriptive study of 273 randomly selected patients admitted to Imam Khomeini Hospital of Tehran University of Medical Sciences in Tehran, Iran.
For the reliability study, two nurses were asked to review patients’ medical records using the instrument.
Validity was appraised by pairs of clinicians, including two general surgeons, two internists and two gynecologists.
The degree of consensus between the three pairs of clinicians was compared with that of the nurses.
Results : Inter-rater and intra-rater reliability testing revealed an excellent level of consensus between the two nurses employing the AEP in all the studied departments.
Overall agreement was > 92%, while the specific appropriate agreement and specific inappropriate agreement were > 88% and > 83%, respectively.
External validity testing of the instrument yielded a sensitivity > 0.785, specificity > 0.55, and positive and negative predictive values > 0.775 and > 0.555, respectively.
The kappa statistic for the nurses who applied the AEP and clinicians using personal judgment were perfect (k > 0.85) and substantial (k > 0.68), respectively.
Conclusions : The results illustrate that the Iranian version of the AEP (IR-AEP) could be a reliable and valid instrument for assessing the level of inappropriate acute hospital admissions and days of care in the Iranian context.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ismaili, Anvar& Ravaghi, Hamid& Seyedin, Husam& Delgoshaei, Bahram& Salihi, Masud. 2015. Developing of the appropriateness evaluation protocol for public hospitals in Iran. Iranian Red Crescent Medical Journal،Vol. 17, no. 3, pp.1-7.
https://search.emarefa.net/detail/BIM-554108
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ismaili, Anvar…[et al.]. Developing of the appropriateness evaluation protocol for public hospitals in Iran. Iranian Red Crescent Medical Journal Vol. 17, no. 3 (Mar. 2015), pp.1-7.
https://search.emarefa.net/detail/BIM-554108
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ismaili, Anvar& Ravaghi, Hamid& Seyedin, Husam& Delgoshaei, Bahram& Salihi, Masud. Developing of the appropriateness evaluation protocol for public hospitals in Iran. Iranian Red Crescent Medical Journal. 2015. Vol. 17, no. 3, pp.1-7.
https://search.emarefa.net/detail/BIM-554108
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 6-7
رقم السجل
BIM-554108
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر