Cost & quality quarterly journal : CQ最新文献_第8页

Specialty capitation methodology. Part 1. 专业资本化方法。第1部分。

Cost & quality quarterly journal : CQ Pub Date : 1997-07-01

J Selevan

引用次数: 0

Diagnostic certainty and hospital resource use. 诊断确定性与医院资源利用。

Cost & quality quarterly journal : CQ Pub Date : 1997-07-01

J R Lave, R A Bankowitz, P Hughes-Cromwick, N B Giuse

{"title":"Diagnostic certainty and hospital resource use.","authors":"J R Lave, R A Bankowitz, P Hughes-Cromwick, N B Giuse","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine whether the house staff's subjective probability estimates of their initial admitting diagnoses are independent predictors of in-hospital resource consumption.Design: Descriptive correlational study.Setting: Academic medical center inpatient setting.Patients: Patients admitted to general medicine wards.Measurements: A visual analog scale with hash marks at 0, 25, 50, 75 and 100 was used to obtain a subjective probability estimate that the house staff's initial admitting diagnosis was a correct diagnosis. This provided the measure of diagnostic \"certainty\" at the time of admission. Patient demographic data, prior hospital stays, distance from hospital, MedisGroups scores, outlier status and vital status at discharge were obtained from administrative systems. Length of stay, total charges, cost estimates (total departmental), and number of consultations were obtained from the hospital-based transaction master database.Results: House staff evaluated 1,778 admissions, 77.2% were assigned a diagnostic certainty rating of 75% or higher. In univariate analysis, the certainty rating did not vary with the MedisGroups score, outlier status or vital status at discharge. It varied with prior stays and measures of resource use. In multivariate analysis, the certainty rating was a significant factor accounting for variation in each of the measures of resource utilization with the exception of adjusted pharmacy charges.Conclusions: Even in a teaching hospital only a small proportion of patients had an \"uncertain\" diagnosis (22.8%). Nonetheless, the certainty variables were significantly related to measures of resource consumption including length of stay, total costs and number of consults obtained.","PeriodicalId":79858,"journal":{"name":"Cost & quality quarterly journal : CQ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The benefit of intensivists. 强化主义者的好处。

Cost & quality quarterly journal : CQ Pub Date : 1997-07-01

D B Chalfin

引用次数: 0

Developing a strategic plan for the nursing workforce. The California experience. 为护理人员制定战略计划。加州的经历。

Cost & quality quarterly journal : CQ Pub Date : 1997-07-01

S B Keating

引用次数: 0

Re-engineering the medical staff. Simplification is key. 重组医务人员。简化是关键。

Cost & quality quarterly journal : CQ Pub Date : 1997-07-01

S van Hall