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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0124988
Code Inist : 002B30A01C. Création : 22/06/1998.