High cost medical cases like premature new born, closed head or spinal cord injuries, cancer, stroke and organ transplant require a viable tool to control cost and ensure quality care.
In Saudi public hospitals where government policy of free health care has removed most economic constraints that would normally act as a deterrent to frivolous demand and provision of services, economic efficiency in provision of service is not a high priority.
High cost cases are not handled differently, in such a way to control costs, and this contributes to the prevalence of long-stay patients and other problems in acute care hospitals.
This paper highlights the problem of aggressive use of highly specialized and expensive but sometimes inappropriate procedures where less specialized procedures and settings would be more effective, and also to the prevalence of custodial care patients in acute hospitals.
The effectiveness of case management in controlling the cost of'high ticket cases'while ensuring quality care through linking the patient with a wide variety of medical and community resources and eliminating unnecessary services is discussed.
The paper recommends that all hospitals introduce case management and other utilization review programs to eliminate waste and improve quality.
Mots-clés Pascal : Evaluation, Programme sanitaire, Coût, Economie santé, Qualité, Soin, Arabie Saoudite, Asie, Homme
Mots-clés Pascal anglais : Evaluation, Sanitary program, Costs, Health economy, Quality, Care, Saudi Arabia, Asia, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0149212
Code Inist : 002B30A01C. Création : 21/05/1997.