Eron L J
Hosp Formul. 1988 May;23(5):440-2, 447.
Intracare, a joint venture between infectious disease consultants and Fairfax Hospital, Virginia, represents an ambulatory model for the delivery of intravenous antibiotics on an outpatient basis. This article reviews the cost effectiveness and clinical effectiveness of the program in the first 2,096 enrollees over a 6-year period. The most commonly treated infection was osteomyelitis and the most frequently used antibiotic was ceftriaxone sodium. The infections responded satisfactorily in 89% of patients in the program. A total of 39,829 hospital days were saved, which represented a cost savings for hospital bed charges alone of $15,931,600. The authors conclude that because of changes in the hospital environment--constraints on the expansion of hospital beds, and the reservation of hospital beds for the most acutely ill patients (a future prediction resulting from an increased elderly population)--Intracare may serve as a prototype of a clinic rendering all types of outpatient care to chronically ill or less acutely ill patients who would ordinarily have been hospitalized.
Intracare是弗吉尼亚州传染病顾问公司与费尔法克斯医院的合资企业，代表了一种在门诊基础上提供静脉注射抗生素的门诊模式。本文回顾了该项目在6年期间对最初2096名参与者的成本效益和临床效果。最常治疗的感染是骨髓炎，最常用的抗生素是头孢曲松钠。该项目中89%的患者感染得到了令人满意的缓解。总共节省了39829个住院日，仅医院床位费用就节省了15931600美元。作者得出结论，由于医院环境的变化——医院床位扩张受限，以及为病情最危急的患者预留床位（这是老年人口增加带来的未来预测）——Intracare可能成为为慢性病患者或病情不太危急的患者提供各类门诊护理的诊所的典范，这些患者通常会住院治疗。
