To determine the population number necessary to generate a sufficient volume of pediatric cardiac surgeries to allow accurate prediction of resource utilization.
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.
A regional pediatric cardiac referral center.
All sequential patients who underwent pediatric cardiac surgery between July 1991 and January 1994.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0170731
Code Inist : 002B30A01C. Création : 199608.