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  1. Population requirements for capitation planning in pediatric cardiac surgery.

    Article - En anglais

    Objective 

    To determine the population number necessary to generate a sufficient volume of pediatric cardiac surgeries to allow accurate prediction of resource utilization.

    Design 

    All pediatric cardiac surgical patients receive care in our institution by means of only four clinical pathways that are based on acuity, not diagnosis or procedure.

    This allows accurate tracking of resource utilization.

    Based on available information, 750 consecutive surgically treated patients were retrospectively assigned to a pathway.

    They were subsequently subdivided into study groups of decreasing sizes from 150 to 35.

    Variability of pathway distribution from group to group was examined as a measure of the ability to predict resource utilization based on group size.

    Pediatric cardiac statistics from the state of Ohio were then used to extrapolate to the population base necessary to generate each group size.

    Setting 

    A regional pediatric cardiac referral center.

    Patients 

    All sequential patients who underwent pediatric cardiac surgery between July 1991 and January 1994.

    Results 

    Statewide statistics showed that a population base of 1 million people generates 100 pediatric cardiac operations.

    Groups of 100 patients or greater had minimal variation in pathway distribution from group to group, allowing accurate prediction of hospital charges.

    This was not true for groups of 50 patients or less.

    Conclusions 

    Resource utilization for pediatric cardiac surgery can be accura...

    Mots-clés Pascal : Santé publique, Etats Unis, Planification, Chirurgie, Coeur, Enfant, Utilisation, Ressource, Démographie, Prédiction, Economie santé, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : United States, Planning, Surgery, Heart, Child, Use, Resource, Demography, Prediction, Health economy, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0170731

    Code Inist : 002B30A01C. Création : 199608.