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  1. Effects of availability of patient-related charges on practice patterns and cost containment in the pediatric intensive care unit.

    Article - En anglais

    Objective 

    To investigate the effects of the availability of daily patient-related charges to healthcare providers on practice patterns and cost containment in the pediatric intensive care unit (ICU) setting.

    Design 

    Prospective, nonrandomized, controlled trial.

    Setting 

    Pediatric ICU.

    Patients 

    All patients admitted to the pediatric ICU during the study period.

    This number included a prospective control group (n=325) and an intervention group (n=273).

    These 598 patients spent 2,274 patient days in the pediatric ICU.

    Interventions 

    The daily itemized patient charges related to diagnostic studies ordered in the pediatric ICU were made available to healthcare providers during the intervention period of the study.

    Measurements and Main Results 

    Information was collected prospectively on patients in the control group before the intervention period.

    This information included data on demographics, daily severity of illness measures, daily resource consumption, intensity of nursing and medical interventions, and daily patient-related charges.

    Outcome information on survival and length of pediatric ICU stay was also collected.

    The same data were collected prospectively during the intervention period of the study.

    Measurements on quality assurance and morbidity were made to ensure that there was no compromise in patient care.

    There were no significant differences in patient demographics and diagnoses between the control and intervention groups.

    There was a re...

    Mots-clés Pascal : Admission hôpital, Unité soin intensif, Pédiatrie, Pratique professionnelle, Médecin, Contrôle coût, Prise décision, Prise conscience, Enfant, Economie santé, Prospective, Homme, Personnel sanitaire

    Mots-clés Pascal anglais : Hospital admission, Intensive care unit, Pediatrics, Professional practice, Physician, Cost control, Decision making, Awareness, Child, Health economy, Prospective, Human, Health staff

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

    Cote : 96-0199901

    Code Inist : 002B30A04B. Création : 199608.