Why they remain: causes for delay in leaving hospital among discharged patients
Autor(a) principal: | |
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Data de Publicação: | 2016 |
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Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Espaço para a Saúde (Online) |
Texto Completo: | https://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/294 |
Resumo: | Discharged patients that remain in the hospital have become a frequent problem in hospitals all over the world. This study aims to identify the more common reasons for this unnecessary stay, which leads to the inappropriate use of hospital beds, and to compare them to the international literature. This is a descriptive study about the delays of discharged patients in leaving a university long stay public hospital at the Metropolitan Area of São Paulo, using data from the hospital medical records provided by the Hospital Records Service. The most frequent reasons were problems related to transportation from the hospital to the patients´ homes, support from the healthcare network, patients and family resistance to the discharge, home adequacy, wait for pending documents, and training of family members and caregivers. Specificities of the Brazilian reality were identified compared to the international bibliography, showing the need for solutions aimed at each reality to achieve better service utilization. |
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Why they remain: causes for delay in leaving hospital among discharged patientsPor que eles permanecem: causas de atraso na saída em pacientes de alta médicaConvalescent HospitalsBed occupancyDischarge planningPatient discharge.Hospitais de ConvalescentesOcupação de LeitosPlanejamento da AltaAlta do Paciente.Discharged patients that remain in the hospital have become a frequent problem in hospitals all over the world. This study aims to identify the more common reasons for this unnecessary stay, which leads to the inappropriate use of hospital beds, and to compare them to the international literature. This is a descriptive study about the delays of discharged patients in leaving a university long stay public hospital at the Metropolitan Area of São Paulo, using data from the hospital medical records provided by the Hospital Records Service. The most frequent reasons were problems related to transportation from the hospital to the patients´ homes, support from the healthcare network, patients and family resistance to the discharge, home adequacy, wait for pending documents, and training of family members and caregivers. Specificities of the Brazilian reality were identified compared to the international bibliography, showing the need for solutions aimed at each reality to achieve better service utilization.Pacientes que recebem alta e permanecem internados têm se tornado um problema frequente em hospitais de diversas partes do mundo. Este estudo tem como objetivo identificar os motivos mais frequentes que fizeram com que pacientes de alta permanecessem sem necessidade no hospital, levando ao uso inadequado do recurso leito hospitalar, e compará-los com o que mostra a literatura internacional. Foi realizado um estudo descritivo em um hospital público universitário de longa permanência, na Região Metropolitana da Grande São Paulo, através de levantamento de dados de prontuários fornecidos pelo SAME do Hospital. Os motivos mais comuns foram problemas relacionados a transporte para a residência, suporte da rede, resistência dos pacientes/familiares, adequação da moradia, espera por documentação e treinamento de familiares/cuidadores. Identificou-se especificidade na realidade brasileira em relação à bibliografia internacional, evidenciando a necessidade de soluções direcionadas a cada realidade para obter melhor utilização dos serviços.Faculdades Pequeno Príncipe2016-12-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/29410.22421/15177130-2016v17n2p134Espaço para a Saúde; Vol. 17 No. 2 (2016); 134-142Espaço para a Saúde; v. 17 n. 2 (2016); 134-1421517-71300103-3832reponame:Espaço para a Saúde (Online)instname:Faculdades Pequeno Príncipe (FPP)instacron:FPPporhttps://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/294/pdf13Copyright (c) 2016 Fabio Yoshito Ajimura, Ana Maria Malikinfo:eu-repo/semantics/openAccessAjimura, Fabio YoshitoMalik, Ana Maria2022-02-14T16:52:43Zoai:ojs.168.194.69.20:article/294Revistahttps://espacoparasaude.fpp.edu.br/index.php/espacosaude/PRIhttps://espacoparasaude.fpp.edu.br/index.php/espacosaude/oaiespaco-saude@fpp.edu.br || elaine.rossi@fpp.edu.br1517-71300103-3832opendoar:2022-02-14T16:52:43Espaço para a Saúde (Online) - Faculdades Pequeno Príncipe (FPP)false |
dc.title.none.fl_str_mv |
Why they remain: causes for delay in leaving hospital among discharged patients Por que eles permanecem: causas de atraso na saída em pacientes de alta médica |
title |
Why they remain: causes for delay in leaving hospital among discharged patients |
spellingShingle |
Why they remain: causes for delay in leaving hospital among discharged patients Ajimura, Fabio Yoshito Convalescent Hospitals Bed occupancy Discharge planning Patient discharge. Hospitais de Convalescentes Ocupação de Leitos Planejamento da Alta Alta do Paciente. |
title_short |
Why they remain: causes for delay in leaving hospital among discharged patients |
title_full |
Why they remain: causes for delay in leaving hospital among discharged patients |
title_fullStr |
Why they remain: causes for delay in leaving hospital among discharged patients |
title_full_unstemmed |
Why they remain: causes for delay in leaving hospital among discharged patients |
title_sort |
Why they remain: causes for delay in leaving hospital among discharged patients |
author |
Ajimura, Fabio Yoshito |
author_facet |
Ajimura, Fabio Yoshito Malik, Ana Maria |
author_role |
author |
author2 |
Malik, Ana Maria |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Ajimura, Fabio Yoshito Malik, Ana Maria |
dc.subject.por.fl_str_mv |
Convalescent Hospitals Bed occupancy Discharge planning Patient discharge. Hospitais de Convalescentes Ocupação de Leitos Planejamento da Alta Alta do Paciente. |
topic |
Convalescent Hospitals Bed occupancy Discharge planning Patient discharge. Hospitais de Convalescentes Ocupação de Leitos Planejamento da Alta Alta do Paciente. |
description |
Discharged patients that remain in the hospital have become a frequent problem in hospitals all over the world. This study aims to identify the more common reasons for this unnecessary stay, which leads to the inappropriate use of hospital beds, and to compare them to the international literature. This is a descriptive study about the delays of discharged patients in leaving a university long stay public hospital at the Metropolitan Area of São Paulo, using data from the hospital medical records provided by the Hospital Records Service. The most frequent reasons were problems related to transportation from the hospital to the patients´ homes, support from the healthcare network, patients and family resistance to the discharge, home adequacy, wait for pending documents, and training of family members and caregivers. Specificities of the Brazilian reality were identified compared to the international bibliography, showing the need for solutions aimed at each reality to achieve better service utilization. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-12-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/294 10.22421/15177130-2016v17n2p134 |
url |
https://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/294 |
identifier_str_mv |
10.22421/15177130-2016v17n2p134 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/294/pdf13 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Fabio Yoshito Ajimura, Ana Maria Malik info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Fabio Yoshito Ajimura, Ana Maria Malik |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faculdades Pequeno Príncipe |
publisher.none.fl_str_mv |
Faculdades Pequeno Príncipe |
dc.source.none.fl_str_mv |
Espaço para a Saúde; Vol. 17 No. 2 (2016); 134-142 Espaço para a Saúde; v. 17 n. 2 (2016); 134-142 1517-7130 0103-3832 reponame:Espaço para a Saúde (Online) instname:Faculdades Pequeno Príncipe (FPP) instacron:FPP |
instname_str |
Faculdades Pequeno Príncipe (FPP) |
instacron_str |
FPP |
institution |
FPP |
reponame_str |
Espaço para a Saúde (Online) |
collection |
Espaço para a Saúde (Online) |
repository.name.fl_str_mv |
Espaço para a Saúde (Online) - Faculdades Pequeno Príncipe (FPP) |
repository.mail.fl_str_mv |
espaco-saude@fpp.edu.br || elaine.rossi@fpp.edu.br |
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1796797494433153024 |