Many factors lead to care in hospital

The University of Heidelberg sought GPs’ views on which admissions can be avoided.

Twelve GPs from 10 German practices were interviewed about patients the researchers considered need not have been admitted to hospital. The study involved 81 patients with a total 104 admissions. In the GPs’ opinion, 43 of these admissions were avoidable.

Each admission had an average of 2.5 causes, including social causes and system-related factors. Patient factors resulting in avoidable admissions included cultural and language difficulties. All admissions due to medication error were considered avoidable.