We determined whether standardized care patterns developed with a collaborative care methodology can be applied successfully across all patient groups with favorable effects on cost and quality.
We retrospectively analyzed financial and clinical outcomes in 109 radical retropubic prostatectomy and 47 radical cystectomy cases.
Patients older than 70 years and/or with an American Society of Anesthesiology status of 3 or greater were compared to younger, healthier patients undergoing these procedures.
Standardized care patterns resulted in favorable financial and clinical outcomes in high and low risk patient groups.
The only apparent difference was an increased need for rehospitalization after discharge for patients undergoing radical prostatectomy with a high American Society of Anesthesiology status.
Standardized care patterns developed with a collaborative care methodology provide a high quality, cost-efficient approach to medical care.
This methodology is applicable to all patient groups and is highly compatible with current medical practice.
Mots-clés Pascal : Prostatectomie, Association, Cystectomie, Complet, Efficacité, Programme sanitaire, Relation incertitude, Age, Association morbide, Analyse avantage coût, Homme, Chirurgie, Prostate pathologie, Appareil urinaire pathologie, Appareil génital mâle pathologie
Mots-clés Pascal anglais : Prostatectomy, Association, Cystectomy, Complete, Efficiency, Sanitary program, Uncertainty relation, Age, Concomitant disease, Cost benefit analysis, Human, Surgery, Prostate disease, Urinary system disease, Male genital diseases
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0239448
Code Inist : 002B25H. Création : 199608.