The evolution of drg system in italy: the it-drg project

Abstract

level (secondary endpoint) were collected from patient medical records. Results: A total of 598 outpatients were included. The mean age was 50.8 years old (SD = 19.8), the sex ratio M:F was 0.68. The repartition of surgeries was as it follows: 23.5% ophthalmic, 19.0% gynecological, 17.7% orthopedic, and 8.3% plastic. 47.5% of operations were performed under general anesthesia. 2.6% lived alone and socially isolated. 5% of outpatients returned home as a pedestrian or by public transportation. 13.7% of outpatients were alone for the first night after surgery. 1.84% of patients had an unanticipated hospital admission. 1.84% of patients returned in hospital in the 30 days that followed the surgery and 0.5% were readmitted. No significant difference was found between patients with low socioeconomic status and other patients for unanticipated hospital admission or readmission (working outpatients versus not working, p = 0.42, outpatients with primary, middle or secondary education versus higher education, p = 1.00). Conclusions: In our study, the prevalence of unanticipated hospital admission and readmission was low and comparable to the literature. In this work, the psychosocial level was not a risk factor of unanticipated hospital admission or readmission after ambulatory surgery. Key messages: Evaluating psychosocial characteristics in outpatients is important in order to better understand their needs and to be sure that the quality of care is according to each patient's profile. In our study, the psychosocial level was not a risk factor of unanticipated hospital admission or readmission after ambulatory surgery. Effect of referral from the clinic on the cancer screening behaviours of cancer patients' relatives Sebahat Gö zü m H O ¨ zçelik, S Gö zü m, HS Coskun 2. It was reached 95.2% (N = 238) of the calculated sample. The data were collected with a questionnaires by via face-to-face. Multiple intervention for information and guidance were made such as individual information, posters and brochures on cancer and general health screenings. Reminder text messages were sent for screenings one and two months after the first interview. The posttests were collected by the phone at third month. Results: The rate for the participants to know the danger signs of cancer varied between 43.3% and 91.6% before the intervention and 84.9% and 98.7% after the intervention. An increase was determined in knowing the behaviors of protecting from cancer except for quitting smoking and keeping away from environments that allow smoking and not smoking, and in the behaviors of protecting from cancer except for having an ideal weight and a safe sexual intercourse.The rate of having mammography increased from 19.8% to 33.9% (p = 0.000), Fecal Occult Blood Test from 16.9% to 23.8% (p = 0.007), and the Smear test from 43.5% to 49.6% (p = 0.000). When examining the rates of participating in general health screenings , it was determined that the rate of having blood pressure control within the last 12 months increased from 75.8% to 83.1% (p = 0.000), blood cholesterol measurement from 68.5% to 79% (p = 0.000), and blood glucose measurement from 70.2% to 79% (p = 0.000). Conclusions: In the clinic, information and guidance to the relatives of cancer patients increases both knowledge and behavior about general health and cancer screenings. Key messages: The relatives of cancer patients should be informed and guided about general health and cancer screenings. Directing relatives of cancer patients to smoking cessation clinics is effective in smoking cessation.