Appropriateness of Hospital Utilization

The Validity and Reliability of the Intensity-Severity-Discharge Review System in a United Kingdom Acute Hospital Setting

Bibliographic Data

ID9102278
AuthorsABBY L INGLIS (University of the West of England, corresponding author), Joanna Coast (0000-0002-3537-5166, University of the West of England, corresponding author), SELENA F GRAY, Selena Gray (0000-0001-6257-4024, Regional Health), Timothy J Peters (0000-0003-2881-4180, University of the West of England, corresponding author), Tim J Peters, STEPHEN J FRANKEL
Year1995
Volume33
Issue9
Pages952-957
Publication date1995-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199509000-00006
PMID7666708
OpenAlexW1989379138
LanguageEN
Citations received3
References cited6

Assessing the appropriateness of hospital utilization in the United Kingdom may yield practical solutions to problems faced by both purchasers and providers of health care in the National Health Service. It is, however, essential that such assessment is based on a method that is both valid and reliable--in particular, valid in the context in which it is applied. Whereas American methods for the assessment of appropriateness have been shown to be valid in the United States, it is pertinent to question whether the application of such methods to the National Health Service also is valid given the different circumstances, both cultural and financial, under which health care is provided. A study of the appropriateness of admission and hospital stay for a sample of admissions to a large acute hospital in the United Kingdom was carried out, and the assessment of appropriateness was made using the Intensity-Severity-Discharge Review System with Adult criteria (ISD-A). The validity and reliability of using the ISD-A for assessing hospital utilization in the United Kingdom was evaluated. The ISD-A was found to have high reliability and to be valid for assessing appropriateness in the United Kingdom when a full range of alternative forms of care are presumed to be available. It was not found to be valid currently, therefore, for routine assessment of hospital utilization within the National Health Service, when alternatives often are not available

Acute care · Appropriateness criteria · Business · Context (archaeology) · Health care · Reliability (semiconductor) · Service (business) · Emergency and Acute Care Studies · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine