The purpose of this study was to evaluate the effect of case management by a Clinical Case Manager/Clinical Nurse Specialist (CCM/CNS) on hospitalized length of stay and hospital charge throughout a 12-month period for patients with congestive heart failure.
A total of 491 patients were discharged during 1997 with a diagnosis-related group code of 127.
Of this number, 88 were case managed by a CCM/CNS.
The remaining 403 received the usual management of their care.
The group who were case managed by the CCM/CNS demonstrated significantly shorter length of stay (t=5.40, P<0.00) and lower hospital charges (t=4.26, P<0.00) than the patients with congestive heart failure who were not case managed.
Secondary analysis indicated a significant interaction between case management and involvement of a cardiologist in the care of the patient.
Patients whose care involved a cardiologist without case management by a CCM/CNS demonstrated significantly greater (alpha=0.01) length of stay and hospital charges than patients who were case managed by a CCM/CNS or patients whose care did not involve a cardiologist.
Mots-clés Pascal : Insuffisance cardiaque, Homme, Hospitalisation, Soin intégré, Temps séjour, Contrôle coût, Recommandation, Coût, Economie santé, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie, Cardiopathie, Gestion clinique pathologie, Référence médicale
Mots-clés Pascal anglais : Heart failure, Human, Hospitalization, Managed care, Residence time, Cost control, Recommendation, Costs, Health economy, United States, North America, America, Cardiovascular disease, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0437317
Code Inist : 002B30A11. Création : 25/01/1999.