Abstract
The Day Service was established in Italy to promote appropriateness of care and consists in the
delivery of packages of complex outpatient services. A Working Group for the continuous improvement
of pre-hospitalization activities of the Regina Elena Scientific Institute in Rome, Italy, established that the
outpatient management of surgical patients in the hospital would occur in a Day Service, through a package
of services identified at the regional level or appropriate diagnostic and therapeutic pathways. This article
describes the experience of the hospital’s Day Service and compares results from the last four months of 2013
with those of the first four months of 2014. The introduction of a Day Service has led to a reduction in the
number of inappropriate pre-admission tests (mainly computerized tomography, magnetic resonance and
Positron emission scans and scintigraphy) and this has had a positive impact not only in terms of organization,
reduction of hospital stay and overall hospitalization-related activities, but also from an economic standpoint.
The implementation of a Day Service has also improved the overall patient experience, from an organizational
point of view, and this is an important aspect, considering that patients at the Regina Elena Scientific Institute
are oncological patients, they are often elderly and most reside in other Italian regions.
Titolo tradotto del contributo | [Autom. eng. transl.] Day service as a tool for reducing inappropriateness: results of the experience in a Roman IRCCS |
---|---|
Lingua originale | Italian |
pagine (da-a) | 577-587 |
Numero di pagine | 11 |
Rivista | IGIENE E SANITÀ PUBBLICA |
Volume | 71 |
Stato di pubblicazione | Pubblicato - 2015 |
Keywords
- Day Service
- Inappropriateness