Hogan A J
Department of Medicine, College of Human Medicine, Michigan State University, East Lansing 48824, USA.
Med Care. 1997 Nov;35(11 Suppl):NS96-105. doi: 10.1097/00005650-199711001-00011.
This article discusses, from an economist's point of view, issues in designing and conducting research including cost and outcomes variables among differing care delivery systems.
Issues were identified, and selected research purporting to link cost and outcomes with variations in care delivery systems was reviewed.
Current literature on nursing care delivery systems and costs in hospitals, ambulatory care, and nursing homes is focused mainly on group-specific costs linked to patient-specific outcomes. It suffers further from focusing primarily on single-discipline components of care, omitting the contributions of other providers beyond nursing personnel.
Multidisciplinary teams, including economists who can speak clinical language, are recommended.
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