Internal Regulation Center in hospitals: Repercussions of its implementation on the health services’ indicators
DOI:
https://doi.org/10.1590/1518-8345.5700.3517%20Keywords:
Health Evaluation; Benchmarking; Quality Management; Hospitalization; Health Status Indicators; Hospital Bed Capacity.Abstract
Objective: to evaluate the hospital indicators and their repercussions
on the number of monthly admissions to a public university hospital,
before and after implementing the Internal Regulation Center.
Method: an evaluative research study, of the Case Study type,
developed in a public university hospital. A total of 28 indicators
related to structure, production, productivity and quality were
measured, which are part of internal Benchmarking. The data were
analyzed by means of descriptive statistics and multiple regression to
identify the independent factors and those associated with the number
of monthly hospitalizations with 95% confidence intervals. Results:
implementation of the Center significantly increased (p<0.001) the
number of discharges, the bed utilization factor and the bed renewal
rate, emergency hospitalization, bed occupancy percentage, surgical
procedures performed and the patient-day mean value (p=0.027).
There was a reduction (p<0.001) in the number of visits to the
medical, obstetric and orthopedic emergency room, in the rates of
in-hospital infection and infant mortality, as well as a mean reduction
of 0.81/day, approximately one day less of hospitalization per patient,
or a gain of 40 available beds per month. Conclusion: although
the number of available beds was lower in the post-implementation
period, the bed replacement interval was reduced, representing an
increase of 40 more beds per month due to the reduction in the
patients’ length of stay in the institution.
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