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Iranian Journal of Public Health، جلد ۴۷، شماره ۷، صفحات ۱۰۰۷-۱۰۱۶
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Process and Results of Implementing Disease Management Pro-gram in Patients with First-time Ischemic Stroke
چکیده انگلیسی مقاله Abstract 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.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله | Hong-Rong YANG
Dept. of Science, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China


| Lei MA
Dept. of Science, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China


| Yi-Feng JIANG
Dept. of Neurology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China


| Yun-Cheng WU
Houston Methodist Neurological Institute, Houston, Texas, USA


| Eugene C. LAI
Dept. of Science, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China Health Economic Research Institute, Shanghai Jiao Tong University National Institute Hospital Development, Shanghai, China School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China


| Yan-Hong ZHU


نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/14048
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