Estimation of Direct Financial Burden of UnnecessaryAdmission and Stay in the Internal and Surgical Wards ofTeaching Hospitals in Yazd City:2021

Introduction: all managers should strive to make the most of the available facilities to avoidwasting resources. this study aimed to estimate the direct financial burden of unnecessaryadmissions and stay days in the internal and surgical wards of teaching hospitals inyazd city.methods: a total of 272 cases were selected using the stratified sampling method in 2021,and each hospital was considered as a statistical class. protocol evaluation appropriatenesswas used to collect the data. multiple logistic regression analysis was used to determine theimpact of demographic variables on the type of admission and also on the type of stay daythrough spss22.results: the results showed that 5.5% of admissions and 19.4% of stay day were deemedunnecessary, and the chance of unnecessary admission in the surgical ward compared to theinternal ward was about 75% (p=0.037, or 0.25) and in patients with basic insurance wasabout 74% lower than those without basic insurance. the cost of unnecessary admission andstay was estimated at 310.294.000 ir rials.conclusions: there is a need to establish interaction between the health insuranceorganization and other basic insurance organizations with managers and officials of hospitalsand monitor the cases, so that admissions and inappropriate hospital days are reduced.