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

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.

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Document Details

Document Type
Technical Report
Publication Date
May 02, 1994
Accession Number
ADA292922

Entities

People

  • Daniel A. Wasneechak

Organizations

  • Academy of Health Sciences

Tags

DTIC Thesaurus Topics

  • Catheterization
  • Cost Reductions
  • Demography
  • Employment
  • Health Care
  • Health Services
  • Hospitalizations
  • Hospitals
  • Internal Medicine
  • Medical Personnel
  • Patient Care
  • Personnel Management
  • Surgery
  • Therapy
  • Training

Fields of Study

  • Medicine
  • Political science

Readers

  • Medical or Health Care Field.
  • Psychometric Testing or Psychological Assessment.