<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-7027</journal-id>
<journal-title><![CDATA[Revista Gerencia y Políticas de Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Gerenc. Polit. Salud]]></abbrev-journal-title>
<issn>1657-7027</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-70272016000200202</article-id>
<article-id pub-id-type="doi">10.11144/Javeriana.rgyps15-31.iiar</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Índice de internación ajustado por riesgo en hospitales públicos de Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk-Adjusted Hospitalization Rate in Public Hospitals in Costa Rica]]></article-title>
<article-title xml:lang="pt"><![CDATA[Índice de internamente ajustado por risco em hospitais públicos na Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morera-Salas]]></surname>
<given-names><![CDATA[Melvin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Costarricense de Seguro Social  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>15</volume>
<numero>31</numero>
<fpage>202</fpage>
<lpage>214</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-70272016000200202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-70272016000200202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-70272016000200202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La estancia prolongada constituye un importante problema de gestión hospitalaria. El objetivo de este estudio es estimar un índice que identifique los hospitales con una gestión inadecuada de las estancias. El índice de adecuación de estancias se calcula dividiendo las estancias observadas entre las estancias esperadas en cada hospital. Estas últimas se estiman con un modelo de regresión que considera las características sociodemográficas y clínicas de los pacientes. Se utiliza la base de egresos hospitalarios del seguro público de salud de Costa Rica del 2014. El 43% de los hospitales tiene una inadecuada gestión de las estancias, dado que registran mayores días de hospitalización que los esperados, de acuerdo a lo que le correspondía por la casuística. Se concluye que la información clínico-administrativa del sistema público de Costa Rica permite estimar un índice de adecuación de estancias, para identificar los hospitales con una gestión inadecuada de las estancias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A prolonged hospitalization constitutes an important hospital management problem. The purpose of this study is to calculate an index which identifies the hospitals with an inadequate hospitalization management. The hospitalization adequacy index is calculated by dividing the observed hospitalizations by the expected hospitalizations in each hospital. The latter are calculated with a regression model which takes into account the socio-demographic and clinical characteristics of the patients. We use the basis of hospitalization discharges of the public healthcare system in Costa Rica for 2014. 43% of the hospitals have an inadequate hospitalization management, as they record more hospitalization days than expected according to the corresponding case load. We conclude that the clinical-management information of the Costa Rican public healthcare allows us to estimate a hospitalization adequacy index as to identify hospitals with an inadequate hospitalization management.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A estancia prolongada constitui importante problema de gestão hospitalar. O objetivo deste estudo foi estimar um índice que identifique os hospitais com gestão inadequada das estancias. O índice de adequação de estancias é calculado dividindo as estancias observadas entre as estancias esperadas em cada hospital. Estas últimas foram estimadas com um modelo de regressão que considera as características sociodemográficas e clínicas dos pacientes. Utiliza-se a base de egressos hospitalares do seguro público de saúde de Costa Rica de 2014. O 43% dos hospitais tem inadequada gestão das estancias, dado que registram mais dias de hospitalização do que os esperados, de acordo com o esperado por casuística. Concluise que a informação clínico-administrativa do sistema público de Costa Rica permite estimar um índice de adequação de estancias, para identificar os hospitais com gestão inadequada das estancias.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gestión en salud]]></kwd>
<kwd lng="es"><![CDATA[hospitalización]]></kwd>
<kwd lng="es"><![CDATA[tiempo de internación]]></kwd>
<kwd lng="es"><![CDATA[ajuste de riesgo]]></kwd>
<kwd lng="es"><![CDATA[alta del paciente]]></kwd>
<kwd lng="es"><![CDATA[Costa Rica]]></kwd>
<kwd lng="en"><![CDATA[health management]]></kwd>
<kwd lng="en"><![CDATA[hospitalization]]></kwd>
<kwd lng="en"><![CDATA[hospitalization time]]></kwd>
<kwd lng="en"><![CDATA[risk adjustment]]></kwd>
<kwd lng="en"><![CDATA[patient discharge]]></kwd>
<kwd lng="en"><![CDATA[Costa Rica]]></kwd>
<kwd lng="pt"><![CDATA[gestão em saúde]]></kwd>
<kwd lng="pt"><![CDATA[hospitalização]]></kwd>
<kwd lng="pt"><![CDATA[tempo de internação]]></kwd>
<kwd lng="pt"><![CDATA[ajuste de risco]]></kwd>
<kwd lng="pt"><![CDATA[alta do paciente]]></kwd>
<kwd lng="pt"><![CDATA[Costa Rica.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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