Pages: 9-13

Abstract

Introduction and Objective: given the increasing demand for health services and resource limitations, effective management is required to prevent the loss of hospital resources and facilities and optimize their activities by using various management methods. Re-hospitalization of patients accounts for significant part of preventable costs in the health care system. Methodology: This descriptive-analytical research was conducted in the form of a retrospective cohort study on patients admitted to Imam Khomeini Hospital since fall 2011 to fall 2012, who were re-hospitalized one month after discharge. Results: out of all patients admitted during the one-year period, 5.6% (1560 patients), were re-hospitalized during ≤ 30 days. Among the hospitalized factors, incomplete treatment, treatment failure, hospital infection and complications of surgery had the greatest impact on the re-hospitalization of patients, and among the clinical factors, recurrence of disease, being affected by new disease, severe disease, mental disease, concomitant disease, the use of high-risk drugs, addiction to psychotropic drugs and opiates had the greatest impact on the re-hospitalization of patients, and among the factors related to the patient, the factor of age had the greatest impact on the re-hospitalization of patients. Conclusion: based on the research results, proper management of hospital resources, observing therapeutic protocols and safety standards in the hospital, paying special attention to vulnerable groups, using modern therapeutic methods and providing the necessary training to the medical staff and patients at the time of discharge can reduce the re-hospitalization of patients and lead to proper use of resources.