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首页> 外文学位 >A retrospective study comparing the costs and outcomes of three alternatives for monitoring patients who come to an emergency department with chest pain (ICD-9 code 78650 & 78659).
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A retrospective study comparing the costs and outcomes of three alternatives for monitoring patients who come to an emergency department with chest pain (ICD-9 code 78650 & 78659).

机译：一项回顾性研究，比较了三种方法来监测胸痛急诊患者的成本和结果（ICD-9代码78650和78659）。

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摘要

The purpose of this study was to explore the costs and outcomes of monitoring patients with chest pain in three alternative care sites (emergency department, outpatient observation unit, inpatient cardiology unit) in a military medical treatment facility (MTF) using the Reynolds and Gaspari framework. Costs were measured on the basis of nursing personnel salaries and patient monitoring costs (diagnostic testing, consultants, and length of stay). Outcome variables included: (a) percent of MI diagnosis in monitored patients, (b) 30-day recidivism rate in monitored patients who returned with a complaint of chest pain, (c) length of stay, (d) type and number of diagnostic tests ordered by physician specialty, (e) length of stay for patients enrolled in TRICARE (military health maintenance organization) and not enrolled in TRICARE, and (f) differences in demographic characteristics and number of co-morbidities in patients diagnosed with MI and patients ruled-out for MI. There were significant differences in length of stay and costs among the three alternative monitoring sites. This study provided evidence that, for the extended evaluation of patients with chest pain, the outpatient observation unit had significantly lower costs and similar patient outcomes when compared with the inpatient cardiology unit. (Abstract shortened by UMI.)
机译：这项研究的目的是探讨使用雷诺兹和加斯帕里框架在军事医疗设施（MTF）中的三个替代性护理地点（急诊科，门诊观察单位，住院心脏病科）监测胸痛患者的成本和结果。费用是根据护理人员的薪水和患者监测费用（诊断测试，顾问和住院时间）来衡量的。结果变量包括：（a）受监测患者的MI诊断百分比，（b）因胸痛而返回的受监测患者30天复发率，（c）住院时间，（d）诊断的类型和次数由医师专长下令进行的检查，（e）参加TRICARE（军事健康维持组织）但未参加TRICARE的患者的住院时间，以及（f）诊断为MI的患者和患者的人口统计学特征和合并症的数量差异MI排除在外。三个替代监测点的住院时间和费用存在显着差异。这项研究提供了证据，与住院心脏病科相比，为进一步评估胸痛患者，门诊观察室的费用明显降低，患者预后相似。 （摘要由UMI缩短。）

著录项

  • 作者

    Borgfeld, Joyce Klemm.;

  • 作者单位

    The University of Texas Health Science Center at San Antonio.;

  • 授予单位 The University of Texas Health Science Center at San Antonio.;
  • 学科 Health Sciences Nursing.; Health Sciences Health Care Management.
  • 学位 M.S.N.
  • 年度 2000
  • 页码 98 p.
  • 总页数 98
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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