医生认知对耻骨后根治性前列腺切除术医院收费的影响。
Impact of physician awareness on hospital charges for radical retropubic prostatectomy.
作者信息
Kramolowsky E V, Wood N L, Rollins K L, Glasheen W P, Nelson C M
机构信息
Urology Center, Trigon Blue Cross and Blue Shield of Virginia, Richmond, USA.
出版信息
J Urol. 1995 Jul;154(1):139-42.
PURPOSE
We determine if physician awareness of hospital costs for radical retropubic prostatectomy affects physician practice patterns.
MATERIALS AND METHODS
We reviewed 256 consecutive radical retropubic prostatectomies performed by 14 urologists during 4 years at a community hospital. After 2 years the physicians were provided information on factors that may decrease charges.
RESULTS
Charges decreased significantly following intervention, from +f417,134 within the initial 2 years to +f413,826 within the last 2 years (p < 0.005). Significant decreases were noted for length of stay, need for intensive care, operating time and blood loss.
CONCLUSIONS
Traditional methods of physician education can impact practice patterns to decrease hospital charges for radical retropubic prostatectomy.
目的
我们旨在确定医生对耻骨后根治性前列腺切除术的医院成本的认知是否会影响医生的执业模式。
材料与方法
我们回顾了一家社区医院的14位泌尿科医生在4年期间连续进行的256例耻骨后根治性前列腺切除术。2年后，向医生提供了可能降低费用的因素的信息。
结果
干预后费用显著降低，从最初2年内的417,134英镑降至最后2年内的413,826英镑（p < 0.005）。住院时间、重症监护需求、手术时间和失血量均显著减少。
结论
传统的医生教育方法可以影响执业模式，以降低耻骨后根治性前列腺切除术的医院费用。
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