Malnory M
Department of Obstetrics and Gynecology, University of Wisconsin Medical School, Sinai Samaritan Medical Center, Milwaukee, USA.
J Nurs Care Qual. 1997 Apr;11(4):9-26. doi: 10.1097/00001786-199704000-00004.
Advocates of inpatient managed care employing clinical pathways are confident that this patient management strategy reduces cost while promoting equivalent patient outcomes. Other health care professionals are concerned that cost reductions place patients at higher risk for adverse health events. Research is needed to demonstrate the true impact of cost-containment strategies on clinical outcomes. The article describes a study in progress comparing patients conventionally managed by their physicians with similar patients whose overall management involved a nurse case manager. This study explores the issue of resource costs that can be linked to clinical and financial outcome measures.
采用临床路径的住院管理式医疗的倡导者坚信，这种患者管理策略在促进同等患者治疗效果的同时降低了成本。其他医疗保健专业人员则担心，成本降低会使患者面临更高的不良健康事件风险。需要进行研究以证明成本控制策略对临床结果的真正影响。本文描述了一项正在进行的研究，该研究将由医生常规管理的患者与整体管理涉及护士病例经理的类似患者进行比较。这项研究探讨了与临床和财务结果指标相关的资源成本问题。
