Johnson C C, Martin M, Epstein S M, Lee J D
Anderson Area Medical Center, S.C. 29621.
J S C Med Assoc. 1993 Jun;89(6):293-301.
An experimental-control group study was carried out in a large community hospital in which the experimental variable consisted of a one-time exposure of physicians to clinical and financial specifics regarding their individual treatment and management of pneumonia patients. A computerized report generating technology was used to create individualized reports for physicians detailing their practice patterns with respect to pneumonia patients. It was found that providing physicians with specific information about their practice behavior resulted in these same physicians using fewer hospital resources as expressed in total billed charges and Length of Stay. At the same time there was no compromise in outcomes for patients as measured by mortality, readmission rates, and infection/complication rates. The improvement in resource utilization was observed for two years following the provision of practice specific data to the experimental physicians.
在一家大型社区医院开展了一项实验对照组研究，其中实验变量包括让医生一次性了解他们对肺炎患者的个体治疗和管理的临床及财务细节。利用计算机化报告生成技术为医生创建个性化报告，详细说明他们针对肺炎患者的诊疗模式。结果发现，向医生提供有关其诊疗行为的具体信息后，这些医生使用的医院资源（以总计费费用和住院时间表示）减少。同时，以死亡率、再入院率和感染/并发症率衡量的患者治疗结果并未受到影响。在向参与实验的医生提供特定诊疗数据后的两年内，均观察到资源利用率有所提高。
