Iranian Red Crescent Medical Journal

Published by: Kowsar

Developing of the Appropriateness Evaluation Protocol for Public Hospitals in Iran

Anvar Esmaili 1 , Hamid Ravaghi 2 , * , Hesam Seyedin 3 , Bahram Delgoshaei 2 and Masoud Salehi 3
Authors Information
1 Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
2 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
3 Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, IR Iran
Article information
  • Iranian Red Crescent Medical Journal: March 2015, 17 (3); e59660
  • Published Online: March 1, 2015
  • Article Type: Research Article
  • Received: March 17, 2014
  • Revised: April 28, 2014
  • Accepted: July 2, 2014
  • DOI: 10.5812/ircmj.19030

To Cite: Esmaili A, Ravaghi H, Seyedin H, Delgoshaei B, Salehi M. Developing of the Appropriateness Evaluation Protocol for Public Hospitals in Iran, Iran Red Crescent Med J. 2015 ; 17(3):e59660. doi: 10.5812/ircmj.19030.

Copyright © 2015, Iranian Red Crescent Medical Journal.This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Kossovsky MP, Chopard P, Bolla F, Sarasin FP, Louis-Simonet M, Allaz AF, et al. Evaluation of quality improvement interventions to reduce inappropriate hospital use. Int J Qual Health Care. 2002; 14(3): 227-32[PubMed]
  • 2. Iran SCI . Iran National Health Accounts; Annual Report, 2002 to 2007. 2011;
  • 3. Esmail A. Development of the Paediatric Appropriateness Evaluation Protocol for use in the United Kingdom. J Public Health Med. 2000; 22(2): 224-30[PubMed]
  • 4. Gertman PM, Restuccia JD. The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care. Med Care. 1981; 19(8): 855-71[PubMed]
  • 5. Panis LJ, Verheggen FW, Pop P. To stay or not to stay. The assessment of appropriate hospital stay: a Dutch report. Int J Qual Health Care. 2002; 14(1): 55-67[PubMed]
  • 6. Leung LP, Fan KL. Who should be admitted to hospital? Evaluation of a screening tool. Hong Kong Med J. 2008; 14(4): 273-7[PubMed]
  • 7. Hatam N, Askarian M, Sarikhani Y, Ghaem H. Necessity of admissions in selected teaching university affiliated and private hospitals during 2007 in Shiraz, Iran. Arch Iran Med. 2010; 13(3): 230-4[PubMed]
  • 8. Guile R, Leux C, Paille C, Lombrail P, Moret L. Validation of a tool assessing appropriateness of hospital days in rehabilitation centres. Int J Qual Health Care. 2009; 21(3): 198-205[DOI][PubMed]
  • 9. Kaya S, Vural G, Eroglu K, Sain G, Mersin H, Karabeyoglu M, et al. Liability and validity of the Appropriateness Evaluation Protocol in Turkey. Int J Qual Health Care. 2000; 12(4): 325-9[PubMed]
  • 10. Paille-Ricolleau C, Leux C, Guile R, Abbey H, Lombrail P, Moret L. Causes of inappropriate hospital days: development and validation of a French assessment tool for rehabilitation centres. Int J Qual Health Care. 2012; 24(2): 121-8[DOI][PubMed]
  • 11. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977; 33(1): 159-74[PubMed]
  • 12. Hammond CL, Phillips MF, Pinnington LL, Pearson BJ, Fakis A. Appropriateness of acute admissions and last in-patient day for patients with long term neurological conditions. BMC Health Serv Res. 2009; 9: 40[DOI][PubMed]
  • 13. Sanchez-Garcia S, Juarez-Cedillo T, Mould-Quevedo JF, Garcia-Gonzalez JJ, Contreras-Hernandez I, Espinel-Bermudez MC, et al. The hospital appropriateness evaluation protocol in elderly patients: a technique to evaluate admission and hospital stay. Scand J Caring Sci. 2008; 22(2): 306-13[DOI][PubMed]
  • 14. Siu AL, Sonnenberg FA, Manning WG, Goldberg GA, Bloomfield ES, Newhouse JP, et al. Inappropriate use of hospitals in a randomized trial of health insurance plans. N Engl J Med. 1986; 315(20): 1259-66[DOI][PubMed]
  • 15. O'Neill D, Pearson M. Appropriateness of hospital use in the United Kingdom: a review of activity in the field. Int J Qual Health Care. 1995; 7(3): 239-44[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments