| About the author: |
Lekhan V.N., Kriachkova L.V., Zaiarskyі M.I., Borvinko E.V. |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
Most healthcare systems use the Appropriateness Evaluation Protocol (AEP) to analyze the adequacy of inpatient care. As a result of the study, for the first time, according to the Delphi Collective Expert Assessment procedure, Ukrainian indications for inpatient care in hospital and its duration, consisting of four groups of criteria, were developed: severity of the disease, intensity of medical services, medical care / life support services and others; among the latter, the leading place is occupied by the hospitalization indications, defined in national unified clinical protocols.
The inpatient care duration is determined on the basis of an individual assessment of the patient's condition dynamics, taking into account indications for hospitalization. The analysis showed high values of validity and reliability of the developed criteria for justification and inpatient care duration, which permits to recommend the Ukrainian version of the protocol hospitalization justification (AEP-UA) for use.
|
| Tags |
Ukrainian version of the hospitalization feasibility assessment protocol (AEP-UA), criteria for hospitalization and its duration |
| Bibliography |
- Bugro VI. Doslidzhennja obgruntovanosti gospitalizatsii ta vykorystannya lizhkovoho fondu specializovanykh statsionariv zakladiv ohorony zdorovya vtorynnoyi medychnoyi dopomohy. Visnyk naukovykh doslidzhen. 2016; 1: 6-9 [in Ukrainian].
- Derzhavna sluzhba statystyky Ukrayiny. Natsionalni rakhunky ohorony zdorovya (NROZ) Ukrayiny u 2016 rotsi: Statystychnyj biuleten [Internet]. Kyiv: Derzhavna sluzhba statystyky Ukrayiny; 2018 [cited 2018 Dec 21]. 72 р.: Dostupno na: http://www.ukrstat.gov.ua/druk/publicat/kat_u/2018/. [in Ukrainian]
- Derzhavna sluzhba statystyky Ukrayiny. Samoocinka domohospodarstvamy Ukrayiny rivnya svoyikh dokhodiv (za danymy vybirkovoho opytuvannya domohospodarstv u sichni 2018 roku). Statystychnyy zbirnyk [Internet]. Kyiv: Derzhavna sluzhba statystyky Ukrayiny; 2018 [cited 2018 Dec 21]. 78 р. Dostupno na: http://www.ukrstat.gov.ua/druk/publicat/kat_u/2018/. [in Ukrainian]
- Grabovetskyj BJe. Metody ekspertnykh otsinok: teoriya, metodolohiya, napryamky vykorystannya : monografiya. [Internet]. Vinnytsya: VNTU; 2010 [cited 2018 Dec 21]. 171 s. Dostupno na: http://publish.vntu.edu.ua/txt/Grabovecky-MetEkspertOcin_ pdf [in Ukrainian].
- Lehan VM, Volchek VV, Krjachkova LV, Zajarskyj MI. Zastosuvannya kolektyvnykh ekspertnykh otsinok za delfiyskoyu proceduroyu v sotsialno-medychnykh doslidzhennyakh. Ukrayina. Zdorovya natsiyi. 2017; 1(42): 62-68. [in Ukrainian].
- Parij VD, Gryshhuk SM, Borys VM. Vyznachennya pokaznykiv dlya provedennya optymizatsii lizhkovoho fondu zakladiv ohorony zdorovya hospitalnoho okrugu. Scientific Journal «ScienceRise». 2015; 10/3 (15): 97-100 [in Ukrainian].
- Stepurko TG, Semygina TV. Indeks zdorovya. Ukrayina-2017. Rezultaty zahalnonatsionalnoho doslidzhennja [Internet]. Kyiv; 2018 [cited 2018 Dec 21]. Р. 98-134. Dostupno na: http://health-index.com.ua/upload/files/+Report%20Health%20Index% 202017_web.pdf784933025.pdf [in Ukrainian].
- Duckett S, Breadon P. Controlling costly care: a billion-dollar hospital opportunity [Internet]. Grattan Institute Report No. 2014-2. March 2014 [cited 2018 Dec 21]. 51 р. Available from: https://grattan.edu.au/wp-content/uploads/2014/03/806-costly-care.pdf.
- Esmaili A, Ravaghi H, Seyedin H, Delgoshaei B, Salehi М. Developing of the Appropriateness Evaluation Protocol for Public Hospitals in Iran. Iran Red Crescent Med J. 2015 Mar; 17(3): e19030. Published online 2015 Mar 1. doi: [10.5812/ircmj.19030]
- Kastor A, Mohanty SK. Disease and age pattern of hospitalisation and associated costs in India: 1995–2014. BMJ Open 2018;8:e016990. doi:10.1136/ bmjopen-2017-016990.
- Liu W, Yuan S, Wei F, Yang J, Zhang Z, Zhu C, Ma J. Reliability and Validity of the Chinese Version Appropriateness Evaluation Protocol. PLoS One. 2015;10(8):e0136498. Published 2015 Aug 25. doi:10.1371/journal.pone.0136498.
- OECD. Health at a Glance 2017: OECD Indicators [Internet]. Paris: OECD Publishing; 2017 [cited 2018 Dec 21]. 216 р. Available from: https://doi.org/10.1787/health_glance-2017-en
- The World Bank Group. Current health expenditure per capita, PPP (current international $) [Internet]. World Health Organization Global Health Expenditure database; 2018 [cited 2018 Dec 21]. 216 р. Available from: https://data.worldbank.org/indicator/SH.XPD.CHEX.PP.CD.
|
| Publication of the article |
«World of Medicine and Biology» №3(69), 2019 year, 094-100 pages, index UDK 614.2:616:005 |
| DOI |
10.26724/2079-8334-2019-3-69-94-100 |
