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重症监护病房(ICU)能否得到更高效的利用?

Can ICUs be used more efficiently?

作者信息

Turley R M, Edwardson S R

出版信息

J Nurs Adm. 1985 Jul-Aug;15(7-8):25-8.

PMID:3926965
Abstract

Intensive care units (ICUs) account for a large portion of hospital costs. A review of recent literature and a study of one ICU suggest that these costs could be reduced by more careful patient assignments to units suited to meet their needs. Fifty patients cared for in an ICU 24 hours or less before the implementation of the diagnosis related group (DRG)-based prospective reimbursement were compared with 50 post-DRG patients. Although the average age of patients dropped slightly after the DRG system's implementation, few patients in either time period required the medical interventions and specialized equipment of an ICU.

摘要

重症监护病房(ICU)占医院成本的很大一部分。近期文献综述以及对一个ICU的研究表明,通过更谨慎地将患者分配到适合满足其需求的科室,可以降低这些成本。将在基于诊断相关分组(DRG)的前瞻性报销实施前在ICU接受24小时或更短时间护理的50名患者与50名DRG实施后的患者进行了比较。尽管DRG系统实施后患者的平均年龄略有下降,但两个时间段内很少有患者需要ICU的医疗干预和专业设备。

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引用本文的文献

1
Full-cost determination of different levels of care in the intensive care unit. An activity-based costing approach.
Pharmacoeconomics. 1996 Oct;10(4):395-408. doi: 10.2165/00019053-199610040-00008.