The Costs and Outcomes of Multifaceted Interventions Designed to Improve the Care of Congestive Heart Failure in the Inpatient Setting: A Review of the Literature
| Autor: | Peter A. Muennig, Warren Balinsky |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Quality Assurance Health Care Psychological intervention law.invention 03 medical and health sciences 0302 clinical medicine Cost of Illness Randomized controlled trial Quality of life law Nursing Interventions Classification Humans Medicine 030212 general & internal medicine Hospital Costs Intensive care medicine Randomized Controlled Trials as Topic Heart Failure Cost–benefit analysis Inpatient care business.industry 030503 health policy & services Health Policy Hospitalization Treatment Outcome Needs assessment Quality of Life Managed care 0305 other medical science business Needs Assessment |
| Zdroj: | Medical Care Research and Review. 60:275-293 |
| ISSN: | 1552-6801 1077-5587 |
| DOI: | 10.1177/1077558703254697 |
| Popis: | Various multifaceted interventions have been developed in response to the overwhelming burden of congestive heart failure and its costs. These interventions range from improvements in the delivery of inpatient care (e.g., by assigning multidisciplinary teams to the care of a patient or ensuring that clinical practice guidelines are followed) to comprehensive discharge planning that includes home health care. While it is intuitive that such interventions improve care, few have been evaluated in randomized controlled trials and fewer still include data on costs. In this article, the authors review the findings of randomized controlled trials of interventions designed to improve the quality of life, decrease hospital admissions, and decrease costs associated with heart disease. They conclude that inpatient-based multifaceted interventions appear to be effective and inexpensive. Future studies should attempt to tease interventions apart to ascertain which are the most effective. Formal cost-effectiveness analyses are also needed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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