Zarea Gavgani Vahideh, Kazemi Majd Faranak, Nosratnejad Shirin, Golmohammadi Ali, Sadeghi-Bazargani Homayoun
Tabriz Health Services Management Research Center, National public Health Management Center (NPMC), and Department of Medical Library and Information Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Faculty of Management and Health Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
J Cardiovasc Thorac Res. 2015;7(1):1-5. doi: 10.15171/jcvtr.2015.01. Epub 2015 Mar 29.
To assess the efficacy of written information versus non written information intervention in reducing hospital readmission cost, if prescribed or presented to the patients with HF.
The study was a systematic review and meta-analysis. We searched Medline (Ovid) and Cochrane library during the past 20 years from 1993 to 2013. We also conducted a manual search through Google Scholar and a direct search in the group of related journals in Black Well and Science Direct trough their websites. Two reviewers appraised the identified studies, and meta-analysis was done to estimate the mean saving cost of patient readmission. All the included studies must have been done by randomization to be eligible for study.
We assessed the full-texts 3 out of 65 studies with 754 patients and average age of 74.33. The mean of estimated saving readmission cost in intervention group versus control group was US $2751 (95% CI: 2708 - 2794) and the mean of total saving cost in intervention group versus control group was US $2047 (base year 2010) with (95% CI: 2004 - 2089). No publication bias was found by testing the heterogeneity of studies.
One of the effective factors in minimizing the healthcare cost and preventing from hospital re-admission is providing the patients with information prescription in a written format. It is suggested that hospital management, Medicare organizations, policy makers and individual physicians consider the prescription of appropriate medical information as the indispensable part of patient's care process.
评估书面信息干预与非书面信息干预在降低心力衰竭（HF）患者再次住院费用方面的效果，前提是已向患者开具或提供了相关信息。
本研究为系统评价和荟萃分析。我们检索了1993年至2013年过去20年间的Medline（Ovid）和Cochrane图书馆。我们还通过谷歌学术进行了手动检索，并通过其网站在Black Well和Science Direct的相关期刊组中进行了直接检索。两名评审员对纳入的研究进行了评估，并进行荟萃分析以估计患者再次住院的平均节省费用。所有纳入研究必须通过随机分组进行，才有资格纳入研究。
我们评估了65项研究中的3项全文，涉及754名患者，平均年龄为74.33岁。干预组与对照组相比，估计节省的再次住院费用均值为2751美元（95%置信区间：2708 - 2794），干预组与对照组相比，总节省费用均值为2047美元（以2010年为基准年），95%置信区间为2004 - 2089。通过检验研究的异质性未发现发表偏倚。
将书面形式的信息处方提供给患者是降低医疗成本和预防再次住院的有效因素之一。建议医院管理层、医疗保险组织、政策制定者和个体医生将开具适当的医疗信息视为患者护理过程中不可或缺的一部分。
