Smith P E, Smith A E
Nutritional Care Management Institute, Tucker, GA, USA.
Healthc Financ Manage. 1997 Aug;51(8):66-9.
Numerous clinical studies have documented improved clinical outcomes and cost savings when patients at risk for malnutrition receive high-quality nutritional care. A survey of 19 hospitals found that patients who received high-quality nutritional care averaged 12.2 days in the hospital. Patients who received medium nutritional care averaged 14.0 days in the hospital. Patients who received low-quality nutritional care were hospitalized an average of 14.4 days. The survey further revealed that only 7.5 percent of patients at risk for malnutrition actually received the type of nutritional care that was associated with the shortest average length of stay. If all patients in the at-risk population had received high-quality nutritional care, the estimated net savings potential would have been $1,064 per patient. Financial managers can determine the financial consequences of clinical nutritional policies and practices from information and analytical tools that are readily available.
大量临床研究表明,当存在营养不良风险的患者接受高质量营养护理时,临床结果会得到改善,成本也会降低。一项对19家医院的调查发现,接受高质量营养护理的患者平均住院12.2天。接受中等营养护理的患者平均住院14.0天。接受低质量营养护理的患者平均住院14.4天。该调查还显示,只有7.5%存在营养不良风险的患者实际接受了与最短平均住院时间相关的营养护理类型。如果所有处于风险人群中的患者都接受了高质量营养护理,估计每位患者的潜在净节省金额将为1064美元。财务经理可以通过现成的信息和分析工具来确定临床营养政策和实践的财务后果。