Title: A survey on consequences related to the low conversion of patients from out-patient department to in-patient department at a multispecialty hospital

Authors: Prof. (Dr) Subhasish Chatterjee, Dr Medha Wadhwa, Ms. Devanshi Jani

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.194

Abstract

This study is based on the research conducted at a multispecialty hospital, at Ahmadabad, Gujarat. The study had been undertaken with the primary objective of analyzing the results and reasons due to that patient visiting the hospital OPD at high frequency however they did not prefer to take admission despite providing the adequate facility at affordable cost. Those reasons could be associated with monetary crises, dissatisfaction with the consultancy, lack of personal attention, delay in services provided or references for private consultancy. Samples have been selected through random sampling method from the population, who were OPD patients however they did not take admission, despite doctor’s instructions. Close ended questionnaires format was applied for one-to-one interview. The collected data were analyzed by using descriptive statistics and inferential statistics (viz.chi square) as a cross-sectional study, on the basis of observations and reasons stated by patients, the hypothesis is tested.

Keywords: out-patient, in-patient, admission, patients, consequences and reasons.

References

  1. Haleas MD B.Harvard.l.F.Gram, E.Grodum K.Brosom.at.al August 1990 Dept of clinical pharmacology.
  2. David W. Baker, MD, MPH; Carl D. Stevens, MD, MPH Robert H. Brook, MD, scd  1991; 266(8):1085-1090doi:10.1001/jama.1991.03470080055029 August 28, 1991           Patients Who Leave a Public Hospital Emergency Department without Being Seen by physician.
  3. Mei-Sing Ong, M.biomed E, Enrio Coiera, The joint commission journal on Quality and Patient safety, June 2011 vol.37 no.6 a systematic review of failures in Handsoff communication during intrahospital transfer.
  4. Leora I Horitz. Tanmaz Moinat.al.Arch Intern Med.2008, 168(16):1755-1760.Consequences of inadequate sign-out for patient care.
  5. Satpal Singh, Dr.Shipra Jain, D.C.Rusk Muthal, Sonepat Journal impact factor (2013) Vol.5 Issue.2Feb(2014).Satisfaction level of IPD patients with medical services.
  6. Leora I.Horitz, at.al.vol53issue June2009.A qualitative analysis of failure during the transition from emergency department to Inpatient care.
  7. Chaya Merrill and Pamela L Owens, Reasons for Being Admitted to the Hospital through the Emergency Department for Children and Adolescents, 2004. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs- June 2007.
  8. Sarah Purdy: Avoiding hospital admissions: What does the research evidence say? The Kings fund-ideas that change healthcare: December 2010.
  9. Langalibalele H Mabuza, Olufemi B Omole, Indiran Govender, John V Ndimande and Herman S  Schoeman: Inpatients’ awareness of admission reasons and management plans of their clinical conditions at a tertiary hospital in South Africa: BMC Health Services Research:2015.
  10. Improving hospital admission and discharge, for people who are homeless. This report was commissioned by the Department of Health to support the delivery of the commitment made by the Ministerial Working Group on Homelessness in their ‘Vision to End Rough Sleeping’ report, published in July 2011:

Web Engine

www.googlescholar.com

Corresponding Author

Prof. (Dr) Subhasish Chatterjee,

Principal/Director, Department of Management,

Sumandeep Vidyapeeth, An Institution Deeemed to be University