Robertson K A, Kayhko K
School of Nursing, University of Prince Edward Island.
Dynamics. 2001 Winter;12(4):25-31.
The general goal of this research was to determine the effectiveness of a home follow-up program in order to acquire guidance in how to plan the future structure and contents of post-myocardial infarction (MI) patients' care and rehabilitation. The specific aim of this study was to evaluate the cost-effectiveness of the program in reducing the rate of rehospitalization of first-time post-MI patients when measured at six weeks and six months post-discharge.
The supportive-educative home follow-up program will prove to be cost-effective by indicating an inverse correlation with the cost of post-MI patients being rehospitalized for unplanned and preventable diagnoses.
Cost analysis, using data from a one year randomized control clinical trial conducted in a small urban hospital in eastern Canada. An experimental post test only control group design, including the process of randomization, was used in this study.
62 people admitted with a diagnosis of a first-time acute MI during a one-year period with no co-morbidity likely to affect rehabilitation.
Health care costs.
Early supportive home follow-up reduced inpatient rehospitalization by more than half (three rehospitalizations vs seven rehospitalizations) and reduced the average length of stay (five days vs seven days). Cost analysis demonstrated that intense home follow-up in the time immediately following patient discharge could still produce cost savings to the health care system.
Intensive home follow-up provided a cost-effective alternative to traditional cardiac rehabilitation programs; however, a larger study is required to assess the generalizability of the results and long-term cost effectiveness.
本研究的总体目标是确定家庭随访计划的有效性，以便为如何规划心肌梗死（MI）后患者护理和康复的未来结构及内容获取指导。本研究的具体目的是评估该计划在出院六周和六个月时降低首次心肌梗死后患者再住院率方面的成本效益。
支持性教育家庭随访计划将被证明具有成本效益，即与因计划外和可预防诊断而再次住院的心肌梗死患者的费用呈负相关。
成本分析，使用来自加拿大东部一家小型城市医院进行的为期一年的随机对照临床试验的数据。本研究采用仅后测的实验性对照组设计，包括随机化过程。
62名在一年期间因首次急性心肌梗死入院且无可能影响康复的合并症的患者。
医疗保健成本。
早期支持性家庭随访使住院再住院率降低了一半以上（3次再住院 vs 7次再住院），并缩短了平均住院时间（5天 vs 7天）。成本分析表明，在患者出院后的 immediately 立即进行密集的家庭随访仍可为医疗保健系统节省成本。
密集的家庭随访为传统心脏康复计划提供了一种具有成本效益的替代方案；然而，需要进行更大规模的研究来评估结果的普遍性和长期成本效益。
