Reliability of a hospital utilization review method in Turkey
- PMID: 10030787
- DOI: 10.1093/intqhc/10.1.53
Reliability of a hospital utilization review method in Turkey
Abstract
Objective: To determine whether the Appropriateness Evaluation Protocol (AEP) is reliable in Turkey.
Methods: Three reviewers, two physicians and one nurse each reviewed 196 patient-days concurrently by using the AEP at three hospitals, two of which were teaching hospitals. Inter-reviewer reliability was assessed both for all cases reviewed (overall agreement), and for only those judged inappropriate by at least one reviewer (specific agreement). In addition, overall agreement between pairs of reviewers was evaluated by the Kappa statistic.
Results: The overall agreement between pairs of reviewers was very high: 93.4-95.9%, and it was similar between all pairs. The level of overall agreement was highly statistically significant: k=0.725-0.833, P<0.001. The specific agreement rates ranged from a low of 61.8% to a high of 75%.
Conclusions: These results show, for the first time, that the AEP method is reliable in Turkey.
Similar articles
-
Factors affecting appropriateness of hospital utilization in two hospitals in Turkey.J Med Syst. 2001 Dec;25(6):373-83. doi: 10.1023/a:1011923710733. J Med Syst. 2001. PMID: 11708397
-
Liability and validity of the Appropriateness Evaluation Protocol in Turkey.Int J Qual Health Care. 2000 Aug;12(4):325-9. doi: 10.1093/intqhc/12.4.325. Int J Qual Health Care. 2000. PMID: 10985271
-
The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care.Med Care. 1981 Aug;19(8):855-71. Med Care. 1981. PMID: 7196975
-
Assessing the necessity of hospital stay by means of the appropriateness evaluation protocol: how strong is the evidence to proceed?Int J Qual Health Care. 2000 Dec;12(6):483-93. doi: 10.1093/intqhc/12.6.483. Int J Qual Health Care. 2000. PMID: 11202602 Review.
-
Appropriateness of admissions: the French experience.Int J Qual Health Care. 1995 Sep;7(3):233-8. doi: 10.1093/intqhc/7.3.233. Int J Qual Health Care. 1995. PMID: 8595460 Review.
Cited by
-
Identifying reasons for delays in acute hospitals using the Day-of-Care Survey method.Clin Med (Lond). 2015 Apr;15(2):117-20. doi: 10.7861/clinmedicine.15-2-117. Clin Med (Lond). 2015. PMID: 25824060 Free PMC article.
-
Factors affecting appropriateness of hospital utilization in two hospitals in Turkey.J Med Syst. 2001 Dec;25(6):373-83. doi: 10.1023/a:1011923710733. J Med Syst. 2001. PMID: 11708397
-
[Reproducibility of a German scale for assessing the need for inpatient treatment in surgery].Soz Praventivmed. 2000;45(6):258-66. doi: 10.1007/BF01591688. Soz Praventivmed. 2000. PMID: 11210596 German.
-
How do patients and providers react to different incentives in the Chinese multiple health security systems?Chin Med J (Engl). 2015 Mar 5;128(5):632-7. doi: 10.4103/0366-6999.151661. Chin Med J (Engl). 2015. PMID: 25698195 Free PMC article.
-
Appropriateness of admission and length of stay in a Turkish Military Hospital.J Med Syst. 2004 Dec;28(6):653-63. doi: 10.1023/b:joms.0000044967.14313.5f. J Med Syst. 2004. PMID: 15615293
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
