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Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke
BACKGROUND: This study aimed to examine the effect of disease management program (DMP) on the patients with first-time ischemic stroke (IS). METHODS: A DMP with 4 parts of performance indicators (PIs, including outpatient, emergency department, inpatient and follow-up treatment) was implemented in p...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119567/ https://www.ncbi.nlm.nih.gov/pubmed/30182000 |
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author | YANG, Hong-Rong MA, Lei JIANG, Yi-Feng WU, Yun-Cheng LAI, Eugene C. ZHU, Yan-Hong |
author_facet | YANG, Hong-Rong MA, Lei JIANG, Yi-Feng WU, Yun-Cheng LAI, Eugene C. ZHU, Yan-Hong |
author_sort | YANG, Hong-Rong |
collection | PubMed |
description | BACKGROUND: This study aimed to examine the effect of disease management program (DMP) on the patients with first-time ischemic stroke (IS). METHODS: A DMP with 4 parts of performance indicators (PIs, including outpatient, emergency department, inpatient and follow-up treatment) was implemented in patients with stroke in 2 hospitals (Hospital T and R) in Shanghai China from 2007–2010. The effect of DMP on the outcome of IS patients was analyzed according to the criteria of the National Institute of Health Stroke Scale (NIHSS). Furthermore, the total effective rate of DMP, average length of stay, hospitalization cost, and cost-effectiveness ratio (CER) between DMP and non-DMP patients were calculated, followed by the cost-effectiveness analysis. RESULTS: The total effective rate of DMP (T: 69.9%; R: 76.6%) was significantly (P<0.05) higher than that of non-DMP (T: 60.8%; R: 62.7%) group in the same hospital. In addition, a significant (P<0.05) difference in effective rate was observed between DMP and non-DMP at the NIHSS score ≥ 7. Furthermore, the average length of stay and hospitalization cost of the patients in DMP group were significantly (P<0.05) lower than those in non-DMP group. A superior CER was also found in DMP group than non-DMP group. CONCLUSION: The implementation of DMP for IS can effectively improve the treatment outcome and reduce the average length of stay and hospitalization cost. |
format | Online Article Text |
id | pubmed-6119567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Tehran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-61195672018-09-04 Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke YANG, Hong-Rong MA, Lei JIANG, Yi-Feng WU, Yun-Cheng LAI, Eugene C. ZHU, Yan-Hong Iran J Public Health Original Article BACKGROUND: This study aimed to examine the effect of disease management program (DMP) on the patients with first-time ischemic stroke (IS). METHODS: A DMP with 4 parts of performance indicators (PIs, including outpatient, emergency department, inpatient and follow-up treatment) was implemented in patients with stroke in 2 hospitals (Hospital T and R) in Shanghai China from 2007–2010. The effect of DMP on the outcome of IS patients was analyzed according to the criteria of the National Institute of Health Stroke Scale (NIHSS). Furthermore, the total effective rate of DMP, average length of stay, hospitalization cost, and cost-effectiveness ratio (CER) between DMP and non-DMP patients were calculated, followed by the cost-effectiveness analysis. RESULTS: The total effective rate of DMP (T: 69.9%; R: 76.6%) was significantly (P<0.05) higher than that of non-DMP (T: 60.8%; R: 62.7%) group in the same hospital. In addition, a significant (P<0.05) difference in effective rate was observed between DMP and non-DMP at the NIHSS score ≥ 7. Furthermore, the average length of stay and hospitalization cost of the patients in DMP group were significantly (P<0.05) lower than those in non-DMP group. A superior CER was also found in DMP group than non-DMP group. CONCLUSION: The implementation of DMP for IS can effectively improve the treatment outcome and reduce the average length of stay and hospitalization cost. Tehran University of Medical Sciences 2018-07 /pmc/articles/PMC6119567/ /pubmed/30182000 Text en Copyright© Iranian Public Health Association & Tehran University of Medical Sciences http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article YANG, Hong-Rong MA, Lei JIANG, Yi-Feng WU, Yun-Cheng LAI, Eugene C. ZHU, Yan-Hong Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke |
title | Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke |
title_full | Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke |
title_fullStr | Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke |
title_full_unstemmed | Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke |
title_short | Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke |
title_sort | process and results of implementing disease management program in patients with first-time ischemic stroke |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119567/ https://www.ncbi.nlm.nih.gov/pubmed/30182000 |
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