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American Journal of Medical Quality
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Inappropriate Hospital Care and of Illness: Results from a Nationwide Study

Brenda M. Booth, Ph.D.

VA Medical Center, North Little Rock, Arkansas, Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Robert L. Ludke, Ph.D.

Department of Hospital and Health Administration, Xavier University, Cincinnati, Ohio

Eileen M. Fisher, Ph.D.

Department of Preventive Medicine and Environmental Health, The University of Iowa, Iowa City, Iowa

Little is known about the clinical characteristics of hospital patients who do not meet standard utilization review criteria for acute care settings. This study ex amined whether patients with either inappropriate hos pital admissions or days of care were less severely ill on a number of indicators compared to those designated as appropriate by a widely used utilization review instru ment. Using data from a probability sample of 6063 med ical and surgical hospitalizations at 50 Department of Veterans Affairs medical centers, we found strong asso ciations between the appropriateness of admissions and days of care and four indicators of severity of illness. These results suggest that utilization management pro grams and preadmission screening probably successfully screen out less severely ill patients who have less need of hospital-level services.

American Journal of Medical Quality, Vol. 13, No. 1, 36-43 (1998)
DOI: 10.1177/106286069801300105
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This article has been cited by other articles:


Home page
 American Journal of Medical QualityHome page
V. Soria-Aledo, A. Carrillo-Alcaraz, A. Campillo-Soto, B. Flores-Pastor, J. Leal-Llopis, M. P. Fernandez-Martin, M. Carrasco-Prats, and J. L. Aguayo-Albasini
Associated Factors and Cost of Inappropriate Hospital Admissions and Stays in a Second-Level Hospital
American Journal of Medical Quality, July 1, 2009; 24(4): 321 - 332.
[Abstract] [PDF]


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