logo BDSP

Base documentaire


Fermeture du portail BDSP le 1er juillet 2019. En savoir plus...

  1. Pulmonary lobectomy patient care pathway : A model to control cost and maintain quality.

    Article - En anglais

    Background

    Cost containment is a reality in thoracic surgery.

    Patient care pathways have proved effective in cardiac surgery to reduce length of stay and control costs.

    Methods

    A multidisciplinary team formulated a pulmonary lobectomy patient care pathway to standardize care, reduce length of stay and costs, and maintain quality.

    Variance codes were developed to collect data prospectively on reasons for prolonged stay.

    A patient satisfaction survey was instituted to learn patients'responses to their hospitalization.

    Results

    One hundred forty-seven patients underwent lobectomy in 1995 before institution of the pathway with a mean length of stay of 10.6 days and a mean cost of $16,063.

    The lobectomy pathway was instituted at the beginning of 1996.

    One hundred thirty patients underwent lobectomy in 1996 with a mean length of stay of 7.5 days (p=0.03) and a mean cost of $14,792 (p=0.47).

    Readmission and mortality rates were unchanged.

    Eighty-eight of 130 patients (68%) were able to be discharged by the target length of stay of 7 days in 1996 as opposed to 76 of 147 patients (52%) in 1995.

    The most common reason for delayed discharge was inadequate pain control.

    The majority of patients felt prepared for discharge by the seventh postoperative day (70 of 96 patients, 73%). Conclusions.

    The institution of a lobectomy patient care pathway appeared to reduce length of stay and costs. (...)

    Mots-clés Pascal : Poumon pathologie, Lobectomie, Analyse avantage coût, Economie santé, Evaluation, Hospitalisation, Durée, Etats Unis, Amérique du Nord, Amérique, Traitement, Homme, Appareil respiratoire pathologie, Chirurgie

    Mots-clés Pascal anglais : Lung disease, Lobectomy, Cost benefit analysis, Health economy, Evaluation, Hospitalization, Duration, United States, North America, America, Treatment, Human, Respiratory disease, Surgery

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

    Cote : 97-0460731

    Code Inist : 002B25D. Création : 03/02/1998.



Fermeture du portail BDSP le 1er juillet 2019

Nous avons le regret de vous informer de la fermeture du portail BDSP le 1er juillet 2019. Du 1er janvier au 30 juin 2019, le site et ses services resteront accessibles mais ne seront plus alimentés, ni mis à jour. En savoir plus...