Table 5 Root causes of inappropriate hospitalization days from the perspective of physicians and nurses
Group | Clinicians | Patients | Financial problems | Extra-organizational | Equipment |
|---|---|---|---|---|---|
Subgroup | • Induced demand by physician • Lack of daily presence of doctor • Lack of resident orthopedist • Wrong diagnosis • Physicians’ conservatism • Lack of timely counseling • Surgery cancellation • Busy operating room | • Long distance of patients from outside of Tehran • Insistence of the patient and his/her family • Elderly patients and those with underlying disease • Homeless or unsupervised people • Family-less people • Absence of patient’s companion • Patients of other nationalities • Lack of accommodation facilities • Patient’s fear of the wound getting worse • Patient reluctance to surgery • Lack of patient cooperation in treatment or care | • Patients’ lack of insurance coverage • Induced demand of patients with supplemental insurance • High treatment cost of burn patients • Patient’s unfavorable economic status • Problems with the settlement of homeless, unsupervised, and family-less patients | • Lack of cooperation of interested organizations in admitting patients with wounds • Lack of inter-hospital cooperation • Lack of cooperation of patient’s family in taking care of patients • Road closures due to corona restrictions | • Lack of orthopedic equipment • Lack of ultrasound equipment |