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  1. Information sharing can reduce laboratory use by emergency physicians.

    Article, Communication - En anglais

    American College of Emergency Physicians Research Forum. Cincinnati, OH, USA, 1996/02.

    This study analyzed the effect information sharing through physician profiling would have on emergency physician behavior.

    It is a before-and-after audit of laboratory use in a community hospital.

    A 9-month control period was followed by a 15-month period in which the physicians'laboratory use was presented and discussed at monthly meetings.

    The laboratory use decreased 17.8%, from a mean of 2.36 studies per patient during the control period to 1.94 during the final quarter of the study.

    The actual laboratory costs per month decreased 17.7%, from a mean of $32,415 per month to $26,687 per month.

    There was only one possible adverse outcome out of 34,320 patients seen.

    There were no adverse changes in other quality improvement indicators.

    Information sharing can result in a decrease in the number and cost of laboratories studies ordered by emergency physicians without an adverse change in routine quality improvement indicators.

    Mots-clés Pascal : Service urgence, Médecin, Examen laboratoire, Communication information, Soin intégré, Economie santé, Politique sanitaire, Système santé, Homme

    Mots-clés Pascal anglais : Emergency department, Physician, Laboratory investigations, Information communication, Managed care, Health economy, Health policy, Health system, Human

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

    Cote : 98-0124988

    Code Inist : 002B30A01C. Création : 22/06/1998.