Optimization of hospital stay through length-of-stay-oriented case management: an empirical study.
An important component of efficient and high-quality treatment of patients under DRG conditions is the control of patients’ length of stay in hospitals. Medical processes need to be structured in such a way that unnecessary extensions of the length of stay are avoided, thus achieving an economically...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 17; no. 6; pp. 395 - 401 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Dec2009
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=45109728&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 45109728 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Dec2009 vid: 17 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 45109728 10.1007/s10389-009-0266-5 ppf: 395 ppct: 6 formats: tig: atl: Optimization of hospital stay through length-of-stay-oriented case management: an empirical study. aug: au: Kainzinger, Florian Raible, Christian Pietrek, Konstantin Müller-Nordhorn, Jacqueline Willich, Stefan affil: Institute for Social Medicine, Epidemiology, and Health Economics, Charité University Medical Center Berlin, Charité CCM D- 10098 Berlin Germany Helmholtz Zentrum München, Institute of Health Economics and Health Care Management, Munich Germany Department of Finance, University of Maastricht, Maastricht The Netherlands su: Empirical research Hospital case management services Hospital care Medical care Length of stay in hospitals Process optimization sug: subj: Empirical research Hospital case management services Hospital care Medical care Length of stay in hospitals Process optimization keyword: Case management Controlling Hospital Length of stay Reduction Case management Controlling Hospital Length of stay Reduction ab: An important component of efficient and high-quality treatment of patients under DRG conditions is the control of patients’ length of stay in hospitals. Medical processes need to be structured in such a way that unnecessary extensions of the length of stay are avoided, thus achieving an economically and qualitatively optimal result. The study presented here examines the question of whether the introduction of length-of-stay-oriented case management can optimize the duration of patients' hospital stays. In total, 168 inpatient cases and their matched control cases from the cardiology and urology stations of a maximum care hospital are examined in this study. The result of the t-test for the difference of means indicates that the average length of stay of the intervention cases (5.79 days) was significantly shorter than the average length of stay of the control cases (7.34 days). With respect to the re-admission rate, a statistically significant dependence could not be determined. The operationalization of case management in daily clinical routines was tested by a comprehensive survey. Length-of-stay-oriented case management provides transparency of the entire treatment process and integrates procedures to an optimal extent. However, the doctor's sovereignty over therapy is not affected by the introduction of length-of-stay-oriented case management. Hence, the form of case management presented here serves as a new and innovative control and monitoring system for hospitals, as it makes institutions that implement such a system more competitive through the improvement of economical aspects as well as through the introduction of higher process efficiency. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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