Carek Peter J, Boggan Holly, Mainous Arch G, Geesey Mark E, Dickerson Lori, Laird Scott
Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29406, USA.
Fam Med. 2008 Feb;40(2):119-24.
Specific patient care measures and cost of hospitalization are being studied as health care providers and payers are seeking methods to improve the hospital care of patients. This study's purpose was to examine the length of stay and cost of inpatient care by a family medicine teaching service in comparison with the hospitalists' and community physicians' services in the same community hospital.
We analyzed inpatient admissions to either a family medicine teaching service (FMTS), hospitalist physician group, or the patient's own primary care community physician in a 290-bed, for-profit, community hospital over a 12-month period. Outcome variables investigated included length of stay, fixed costs, variable costs, and readmission rate.
A total of 5,453 hospital admissions were analyzed. Patients admitted to the FMTS experienced a significantly shorter length of stay and had significantly lower fixed, variable, and total costs per admission. No significant differences in readmission rates were noted.
The care provided by a teaching service as indicated by length of stay, costs, and readmission rates compared favorably with the care provided by other physicians.
随着医疗服务提供者和支付方寻求改善患者住院治疗的方法，特定的患者护理措施和住院费用正在得到研究。本研究的目的是比较一家社区医院中家庭医学教学服务与住院医师及社区医生服务的住院时间和住院护理费用。
我们分析了一家拥有290张床位的营利性社区医院在12个月内，家庭医学教学服务（FMTS）、住院医师团队或患者自己的基层医疗社区医生接收的住院患者情况。调查的结果变量包括住院时间、固定成本、可变成本和再入院率。
共分析了5453例住院病例。入住FMTS的患者住院时间显著缩短，每次住院的固定成本、可变成本和总成本显著降低。再入院率没有显著差异。
从住院时间、成本和再入院率来看，教学服务提供的护理与其他医生提供的护理相比具有优势。
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