The Relationship between the Levels of Patient Care and Length of Stay in Hospital

Kermani, Behnaz; Gharsi, Mahdi; Ghanbari, Behrooz; Asiabar, Ali Sarabi; Manesh, Pezhman Atefi; Baniasadi, Akram; Kolivand, Pirhossein

doi:10.18869/acadpub.shefa.3.3.32

Cited by 5 publications

(3 citation statements)

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“…Several factors lead to increased length of hospital stay. Problems in hospital such as the patient discharge process, patient a physician at the patient’s bedside, the patient’s age and the presence of underlying diseases are factors that have led to an increase in the length of stay in hospitals ( 9 , 60 , 79 ). Due to the shortage of beds in Iran and the low per capita number of beds in this country (less than 2 per 1000 persons); therefore, the rational use of hospital beds increases people’s access to hospital services ( 4 , 5 ).…”

Section: Discussionmentioning

confidence: 99%

Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

Khammarnia,

Bagherbarahouei,

Ansari-Moghaddam

2023

ijph

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Background: One of the effective indicators used to determine the efficiency and optimal use of hospital resources is the length of stay (LOS). Then, we aimed to determine LOS and its related factors in Iran. Methods: A systematic literature review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the online databases; Medline, EMBASE, Scopus, PubMed, SID, MagIran, and Medlib from 1995 to 2022 using a combination of medical subject. STATA version 11 used for data analysis. Results: Overall, 75 (cross-sectional, cohort, and case-control) reports were identified. The average length of stay in Iranian hospitals was 6.7 (95% CI: 5.32 -7.74) d. There was a significant relationship between the length of stay in the hospital and different wards of hospital (P=0.001). The average of men’ LOS was longer than women were [6.9 (95% CI: 5.32 -7.74) vs. 3.9 (95% CI: 1.67-9.41)]. Moreover, the average LOS before and after the Health Transformation Plan (HTP) in Iran has changed, so that it has increased from 5.8 (95% CI: 4.39 -7.86) to 7.1 (95% CI: 5.59 -9.25) d after HTP (P=0.30). Conclusion: The average length of stay of patients in Iranian hospitals is more than the expected index of the Ministry of Health and Medical Education and is in the unfavorable range (> four days). Moreover, considering the direct effect of the type of departments on LOS; therefore, hospital managers should pay more attention to hospital processes using new process-oriented and customer-oriented management approaches.

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Section: Discussionmentioning

confidence: 99%

Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

Khammarnia,

Bagherbarahouei,

Ansari-Moghaddam

2023

ijph

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“…The suboptimal use of already insufficient resources is a frequent issue in Iranian hospitals, which hospital managers can partly resolve by reducing the average LOS [13]. Reducing the LOS can be expected to increase the admission capacity of the hospital and reduce waiting times before receiving services [14].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital, Mashhad City, Iran, With Their Official Global Prices

Ebrahimipour

Pourahmadi

Aval

et al. 2020

JRH

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Background: This descriptive, analytic study aimed to compare the costs of 10 types of Global Budget Payment System (GBPS) surgery in Imam Reza Hospital, Mashhad City, Iran, in 2016 with the prices in the GBPS. Methods: From hospital-discharge data and patients’ bills, we identified 10 types of GBPS surgeries performed in Imam Reza hospital. The patients were grouped according to the surgical procedures performed in the 10 GBPS category. Data on hospital charges and cost-to-charge ratios were used to assess charges and costs for specific resources, as well as for the hospitalization overall. The researcher received training from the experts in the field of hospital accounting to learn how to determine the charge of GBPS surgeries. Results: The results showed that in some surgeries such as hysterectomy, natural delivery, C-section, tonsillectomy, hernia repair, and appendectomy, charges of services were higher than their average prices GBPS and in arteriovenous anastomosis surgery, cholecystectomy, tympanoplasty, and thyroidectomy were lower than average prices GBPS. One of the main goals of Iran’s Ministry of Health in developing GBPS was to provide a unified framework for managing admission and treatment costs in state-owned hospitals. The obtained data were analyzed by the Wilcoxon signed-rank test and the independent samples t test with 0.05 statistical significance. The results of this study and similar works show that most hospitals have completely neglected this aspect of GBPS. Conclusion: A fact that is reflected in the wide-ranging variations in the charge of GBPS surgeries in different hospitals despite their being paid based on the same rates and guidelines.

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“…Hospitals provide a wide range of services to meet their commitments to society, including diagnostic and clinical support services (1). In developing countries, approximately 5-15% of hospital expenditure is spent for purchasing advanced diagnostic equipment (2)(3).…”

Section: Introductionmentioning

confidence: 99%

Real-Life Incentives Driving Public-Private Partnership in Diagnostic Services

Baniasadi

Sari

Foroushani

et al. 2020

Ethiop J Health Sci

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BACKGROUND: Diagnostic services are highly critical in the success of treatment processes, overly costly nonetheless. Accordingly, hospitals generally seek the private partnership in the provision of such services. This study intends to explore the incentives owned by both public and private sector in their joint provision of diagnostic services under the public-private partnership agreement.METHOD: A qualitative, exploratory study was employed in Tehran hospitals from October 2017 to March 2018. Around 25 face-to-face, semi structured interviews were conducted with the purposively recruited hospital managers, heads of diagnostic services and managers of private companies. Interviews were transcribed and analyzed using conventional content analysis, assisted by "MAXQDA-12".RESULTS: Three main categories and nine sub-categories represented the incentives of public sector, and four main categories and seven sub-categories signified those of private sector. The incentives of public sector included the status-quo remediation, upstream requirements, and personal reasons. As such, the individual, social and economic incentives and legal constraints were driving the behavior of the private sector.CONCLUSIONS: Financial problem and gain were the most noted incentives by the partners. Attention to the either side’s incentives and aims is likely to ensure the durability and effectiveness of such partnerships in the health sector.

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The Relationship between the Levels of Patient Care and Length of Stay in Hospital

Cited by 5 publications

References 0 publications

Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

Comparison of the Charges of 10 Selected Surgeries in Imam Reza Hospital, Mashhad City, Iran, With Their Official Global Prices

Real-Life Incentives Driving Public-Private Partnership in Diagnostic Services

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