Tapp M D
Medtronic, Inc., St. Louis, Missouri, USA.
Crit Care Nurs Q. 1997 Feb;19(4):56-70.
Concerns about significant and rising health care costs have sent the health care pendulum swinging in a more conservative direction. A common-sense approach to health care suggested by outcomes advocates focuses on health care that will determine the best patient outcome for the best dollar value from the combined perspectives of patient, provider, and payer. For patients who require pacing, whether temporary or permanent, this review of the literature summarizes the perspectives of patient, provider, and payer favoring hemodynamic (atrial-based or dual-chamber) pacing.
对医疗保健成本大幅上涨的担忧使医疗保健的钟摆朝着更保守的方向摆动。结果倡导者提出的一种常识性医疗保健方法侧重于从患者、提供者和支付者的综合角度出发，以最佳性价比确定最佳患者治疗结果的医疗保健。对于需要起搏的患者，无论是临时起搏还是永久起搏，本文献综述总结了支持血流动力学（心房起搏或双腔起搏）起搏的患者、提供者和支付者的观点。
