Background and Purpose Stroke is a common disease with a yearly cost in the United States of approximately $30 billion.
The increasing prevalence of managed care and cost-containment measures may affect the delivery of stroke care now and in the future.
This study was performed to determine (1) hospital charges and test utilization for stroke patients and (2) the effectiveness of educational efforts in modifying test utilization and related hospital charges.
Methods Patients with a diagnosis of stroke who were discharged from either the neurology service or another service of the Department of Medicine (DOM) were identified.
Data on test utilization and hospital charges were collected and analyzed.
Following this analysis, educational sessions were held in an effort to reduce the use of specific diagnostic tests.
The effectiveness of these methods was studied in a second group of stroke patients.
Results In the baseline period there were 303 stroke patients, of which 262 (86%) were discharged from the neurology service and 41 (14%) were discharged from other services of the DOM.
Patients on the neurology service had a lower mean length of stay than patients on the other services of the DOM (9.2 days versus 10.5 days) and lower mean total charges per case ($13 149 versus $15 727), although the respective differences were not statistically significant.
Patients on the neurology service were more likely to have both brain CT and MRI performed (82 of 262 patients, 31. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Analyse coût, Hospitalisation, Etats Unis, Amérique du Nord, Amérique, Exploration, Economie santé, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Stroke, Cost analysis, Hospitalization, United States, North America, America, Exploration, Health economy, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0475557
Code Inist : 002B17C. Création : 10/04/1997.