Accession Number : ADA292922

Title :   Preadmission Certification: Identifying Variables that Impact on the Appropriateness of Patient Admissions.

Descriptive Note : Final rept. Jul 93-Jul 94,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Wasneechak, Daniel A.

PDF Url : ADA292922

Report Date : 02 MAY 1994

Pagination or Media Count : 64

Abstract : Health care reform emphasizes cost containment while ensuring access to quality care. Shifting health care delivery from the hospital to outpatient settings and establishing preadmission criteria has proved effective in reducing costs. A proposal at Naval Medical Center, San Diego is to hire registered nurses for preadmission certification. To determine the feasibility of the proposed hiring, variables (age, gender, beneficiary status, proximity of home/duty, possession of health insurance and admitting service) were examined to determine impact on the appropriateness of patient admissions. A one way analysis of variance was conducted on a sample of randomly selected patients (N=115; (1,113 d.f.l). 'Age' (F=2.60, p=.0002), Internal Medicine (F=8.576, p=.004) and Gynecology (F=7.088, p=.009) were identified as statistically impacting the appropriateness of admissions.

Descriptors :   *PATIENTS, *HEALTH CARE FACILITIES, *INSURANCE, HEALTH, NAVY, CONTAINMENT(GENERAL), COSTS, QUALITY, SHIFTING, MANAGEMENT PERSONNEL, MEDICAL SERVICES, NURSES, NURSING, GYNECOLOGY, INTERNAL MEDICINE.

Subject Categories : Medicine and Medical Research
      Economics and Cost Analysis

Distribution Statement : APPROVED FOR PUBLIC RELEASE