Blight A, Pereira A C, Brown M M
Division of Clinical Neuroscience, St George's Hospital Medical School, London.
J R Coll Physicians Lond. 2000 Sep-Oct;34(5):452-5.
We examined the cost effectiveness of a single consultation strategy to manage patients referred with TIA or stroke to our cerebrovascular disease (CVD) clinic, where all relevant investigations (blood tests, CT brain scan and carotid Dopplers) were obtained prior to the clinic appointment.
Retrospective study of patients referred to the CVD clinic at St George's Hospital, London between October 1995 and 1996.
Of 211 new patients seen in the clinic, 73% had CVD; 146 (68%) patients had imaging studies prior to clinic attendance. Of these, 132 (90%) were managed with a single consultation. This strategy cost 5,700 Pounds less than if these patients had been followed up.
Performing all relevant investigations prior to clinic attendance allowed a fully informed discussion with the patient at a single consultation and was cost effective.
我们研究了一种单一会诊策略在管理转诊至我们脑血管疾病（CVD）诊所的短暂性脑缺血发作（TIA）或中风患者中的成本效益，在该诊所预约就诊前会进行所有相关检查（血液检查、脑部CT扫描和颈动脉多普勒检查）。
对1995年10月至1996年间转诊至伦敦圣乔治医院CVD诊所的患者进行回顾性研究。
在诊所就诊的211名新患者中，73%患有CVD；146名（68%）患者在就诊前进行了影像学检查。其中，132名（90%）患者通过单次会诊进行管理。与对这些患者进行随访相比，该策略成本降低了5700英镑。
在就诊前进行所有相关检查能够在单次会诊时与患者进行充分知情的讨论，且具有成本效益。
