Reinternações no Hospital Estadual Bauru : ocorrência e possíveis causas

• Autor(a) principal: Merli, Ana Paula Delgallo
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da USC
• Texto Completo: http://localhost:8080/tede/handle/tede/22
• topic: REINTERNAÇÃO HOSPITALAR; HOSPITALIZAÇÃO; SAÚDE; HOSPITAL READMISSIONS; HOSPITALIZATION; HEALTH CARE; CIENCIAS DA SAUDE::SAUDE COLETIVA

Hospitalization besides being a traumatic procedure to the patient means higher social costs to the family and to society. Some patients may have to undergo repeated hospitalization that many times are related to the same health problem that caused the initial one. Non planned readmission to hospital means additional costs to health care expenditures be it a public or a private institution. It is conceivable that a significant number of these non planned hospital readmissions could be avoided if we had a better understanding of post discharge factors that may lead to readmission. The objective of this study was to evaluate readmission rate in a public hospital and to identify their causes. The work was conducted in the Bauru State Hospital, a public institution that provides health care to Bauru and other towns in the area. Data were collected through analysis of documents, hospital records and a personal interview with readmitted patients. A questionnaire was prepared with questions about any problem the patient had at home to take care of himself and to follow drug prescriptions. Results are based on data from 205 patients who had non planned readmission from January to July 2006. It was verified that almost all patients had spoken and or written instructions and drug prescription but that many of then failed to do so. Readmission rate was 3,1% overall, being about the same for both sexes. Our results also agree with other researches showing higher readmission rates for older patients (5,8%) and for children less than two years of age (8,2%).