Why they remain: causes for delay in leaving hospital among discharged patients

Detalhes bibliográficos
Autor(a) principal: Ajimura, Fabio Yoshito
Data de Publicação: 2016
Outros Autores: Malik, Ana Maria
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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spelling 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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