Annual Meeting of the New England Society for Vascular Surgery. Bolton Landing, NY, USA, 1997/09/18.
Managed care whether through risk or through capitated contracts results in reduction in resources, reduced length of hospital stay, and reduced utilization of hospital resources (collectively referred to as resource reductions).
These resource reductions will become even more noticeable as a greater proportion of Medicare patients who need vascular operations select a managed-care senior product.
We examined the results of a 4-year experience with resource management in an academic vascular surgery practice during which best practice plans were developed and implemented.
We analyzed hospital cost data, which included both total hospital and intensive care unit length of stay, average units per operation for laboratory, pharmacy, and radiology services and operating room and direct hospital costs for 257 carotid endarterectomies performed over fiscal years (FY) 1994,1995,1996, and 1997 (6 month data) and 175 infrainguinal bypass procedures performed during the same period.
For carotid endarterectomy, length of stay decreased 66% over the 4-year period to an average of 2.07 days in FY97.
Both radiology and pharmacy utilization were reduced after the first year of institution of best practice plans (56% and 32% respectively) with 4-year total reductions of 86% and 55% by FY97. (...)
Mots-clés Pascal : Dérivation, Fémoropoplité, Endartériectomie, Carotide, Analyse coût, Economie santé, Ressource, Hôpital, Soin intégré, Traitement, Homme, Chirurgie
Mots-clés Pascal anglais : Bypass, Femoropopliteal, Endarteriectomy, Carotid, Cost analysis, Health economy, Resource, Hospital, Managed care, Treatment, Human, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0318649
Code Inist : 002B25F. Création : 27/11/1998.