Hastane Tekrar Yatışlarının Önemi, Türleri ve Risk Faktörleri

Year 2018, Volume: 8 Issue: 2, 173 - 193, 10.12.2018

Emine Çetin Aslan , İsmail Ağırbaş

https://doi.org/10.32331/sgd.493027

Abstract

Son dönemde, sağlık politikalarının önemli bir bölümünü hastane
tekrar yatışlarının azaltılması çabaları 
oluşturmaktadır.  Bunun  en  önemli nedeni, tekrar yatışları azaltmak
yoluyla sağlık harcamalarının düşürülmesi ve bakım kalitesi ve verimliliğinin artırılması gibi önemli
amaçlara, eş zamanlı olarak ulaşılabilmesidir. Tekrar yatışlar, hastaya ait özellikler, hastaya verilen bakımın yetersizliği, sağlık sistemi
özellikleri  ve  benzeri 
bir dizi farklı etkenin bir araya gelmesiyle oluşan; karmaşık bir
olgudur. Her bir etken, incelenen hastalık ya da işlem türü, zaman dilimi ve araştırmanın yapıldığı popülasyona göre
tekrar yatış oranına farklı etki
etmektedir. Olgu, hangi nedene bağlı olarak ortaya çıkmış olursa olsun, sık
görülen, maliyetli ve olumsuz bir sağlık çıktısıdır. Fakat hastaya ilave
riskler ve sıkıntı getirmesi, ödeyiciler için harcamaları artırması, sağlık
sistemi ve hizmet sunucular için düşük hizmet kalitesi ve verimsizlik bu
nedenlerin en başta gelenleridir. Tüm olumsuz
etkilerine rağmen tekrar yatışların tamamen ortadan kaldırılması mümkün değildir. Bununla birlikte böyle bir yaklaşım mantıksal
olarak da yanlıştır. Bu bağlamda,
tekrar yatışların azaltılmasına yönelik politikaların
başarılı olabilmesi için, öncelikle, tekrar yatışlara neden olan etkenlerin ve
tekrar yatış türlerinin belirlenmesi gerekmektedir.

Keywords

Hastane tekrar yatışları, sağlık hizmetleri finansmanı, sağlık politikası, tekrar yatışların nedenleri, tekrar yatışların türleri

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