Sowell R L, Gueldner S H, Killeen M R, Lowenstein A, Fuszard B, Swansburg R
J Assoc Nurses AIDS Care. 1992 Apr-Jun;3(2):24-31.
To determine the effects of case management in controlling hospital based costs for persons with AIDS (PWAs), a retrospective review of records of deceased PWAs was performed. The study compared diagnosis-to-death hospital charges for PWAs who received care under a care management model (n = 60) with PWAs receiving care within a non-case managed approach (n = 60). Hospital charges were adjusted for inflation. PWAs receiving care within the case managed model had significantly lower hospital-based changes than the non-case managed group. Additionally, PWAs in the case managed group lived significantly longer between HIV diagnosis and death, and lived longer between their first AIDS-related hospital admission and death.
为了确定病例管理在控制艾滋病患者（PWAs）医院费用方面的效果，对已故艾滋病患者的记录进行了回顾性研究。该研究比较了在护理管理模式下接受护理的艾滋病患者（n = 60）与采用非病例管理方法接受护理的艾滋病患者（n = 60）从诊断到死亡的医院费用。医院费用进行了通货膨胀调整。在病例管理模式下接受护理的艾滋病患者的医院费用显著低于非病例管理组。此外，病例管理组的艾滋病患者从艾滋病毒诊断到死亡的存活时间显著更长，从首次因艾滋病相关疾病入院到死亡的存活时间也更长。
