Senior Managed Care System for Hip Fracture in the United States
Clinics in Orthopedic Surgery
;
: 19-28, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-101619
ABSTRACT
BACKGROUND:
It is debatable whether a managed care model would affect the quality of care and length of hospital stay in the treatment of hip fractures in elderly patients.METHODS:
This prospective study was undertaken to determine whether or not a managed care critical pathway tool shortened hospital stay in a group of 102 senior patients with fractures of the hip during follow-up. We compared our study findings with two equivalent populations of senior hip fracture patients not treated using a critical care pathway concerning specific markers of quality.RESULTS:
The managed care group had a 9% mortality rate, 95% return to prefracture living and 63% return to ambulatory status. The rates compared favorably with previous studies. The quality of care provided before and after the critical pathway was equivalent, while the post-pathway length of stay dropped 30%.CONCLUSIONS:
The proposed care protocol is recommended to shorten hospital stay in elderly patients with hip fractures.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Réadmission du patient
/
Complications postopératoires
/
Qualité des soins de santé
/
Programmes de gestion intégrée des soins de santé
/
Los Angeles
/
Études prospectives
/
Fractures de la hanche
/
Durée du séjour
Type d'étude:
Guide de pratique
/
Étude observationnelle
Limites du sujet:
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Nord
langue:
Anglais
Texte intégral:
Clinics in Orthopedic Surgery
Année:
2016
Type:
Article
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