Research Article
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Hastane Tekrar Yatışlarının Önemi, Türleri ve Risk Faktörleri

Year 2018, Volume: 8 Issue: 2, 173 - 193, 10.12.2018
https://doi.org/10.32331/sgd.493027

Abstract



Son dönemde, sağlık politikalarının önemli bir bölümünü hastane
tekrar yatışlarının azaltılması çabaları 
oluşturmaktadır.  Bunun  en  önemli nedeni, tekrar yatışları azaltmak
yoluyla sağlık harcamalarının düşürülmesi ve bakım kalitesi ve verimliliğinin artırılması gibi önemli
amaçlara, zamanlı olarak ulaşılabilmesidir. Tekrar yatışlar, hastaya ait özellikler, hastaya verilen bakımın yetersizliği, sağlık sistemi
özellikleri  ve  benzeri 
bir dizi farklı etkenin bir araya gelmesiyle oluşan; karmaşık bir
olgudur. Her bir etken, incelenen hastalık ya da işlem türü, zaman dilimi ve araştırmanın yapıldığı popülasyona göre
tekrar yatış oranına farklı etki
etmektedir. Olgu, hangi nedene bağlı olarak ortaya çıkmış olursa olsun, sık
görülen, maliyetli ve olumsuz bir sağlık çıktısıdır. Fakat hastaya ilave
riskler ve sıkıntı getirmesi, ödeyiciler için harcamaları artırması, sağlık
sistemi ve hizmet sunucular için düşük hizmet kalitesi ve verimsizlik bu
nedenlerin en başta gelenleridir. Tüm olumsuz
etkilerine rağmen tekrar yatışların tamamen ortadan kaldırılması mümkün değildir. Bununla birlikte böyle bir yaklaşım mantıksal
olarak da yanlıştır. Bu bağlamda,
tekrar yatışların azaltılmasına yönelik politikaların
başarılı olabilmesi için, öncelikle, tekrar yatışlara neden olan etkenlerin ve
tekrar yatış türlerinin belirlenmesi gerekmektedir.




References

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Year 2018, Volume: 8 Issue: 2, 173 - 193, 10.12.2018
https://doi.org/10.32331/sgd.493027

Abstract

References

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  • He, D., Mathews, S.C., Kalloo, A.N., & Hutfless, S. (2014). Mining high-dimensional administrative claims data to predict early hospital readmissions. The Journal of the American Medical Association. 21 (2). 272-279. doi: 10.1136/amiajnl-2013-002151. Healthcarecost and Utilization Project (2017). Methods Calculating Readmissions for HCUPnet. [https://hcupnet-archive.ahrq.gov/HCUPnet. app/Methods-HCUPnet%20readmissions. htm?JS=Y]. (Erişim: 31 Mart 2017).
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  • Joynt, K.E., & Jha, A.K. (2013). Characteristics of hospitals receiving penalties under the hospital readmissions reduction program. The Journal of the American Medical Association. 309 (4). 342- 343. doi: 10.1001/jama.2012.94856.
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There are 42 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emine Çetin Aslan

İsmail Ağırbaş

Publication Date December 10, 2018
Published in Issue Year 2018 Volume: 8 Issue: 2

Cite

APA Çetin Aslan, E., & Ağırbaş, İ. (2018). Hastane Tekrar Yatışlarının Önemi, Türleri ve Risk Faktörleri. Sosyal Güvenlik Dergisi, 8(2), 173-193. https://doi.org/10.32331/sgd.493027