The implementation of critical pathways in gynecologic oncology in a managed care setting: a cost analysis

Gynecologic Oncology
K GhoshL F Carson

Abstract

The aim of the study is to determine whether critical pathways can be implemented at an academic institution to limit cost, without compromising patient satisfaction and quality of care. Patients undergoing a hysterectomy with either cervical or endometrial cancer were placed on specific critical pathways consecutively for an 18-month study period. Preoperative teaching was intensified to educate the patient regarding expectations during the postoperative period. All patients were started on early feeding and patients were also placed on separate care pathways addressing pain and deep vein thrombosis prophylaxis. Total direct costs and patient satisfaction were obtained throughout the study period. During the year prior to care pathway implementation, patient data and direct costs were obtained for the preintervention group utilized for comparison. Postintervention groups were summarized every 6 months during the study period. From January 1997 through June 1998, 63 patients with cervical carcinoma undergoing a radical hysterectomy (DRG 353) and 21 patients with endometrial cancer who underwent a hysterectomy and lymph node sampling (DRG 355) were utilized as the preintervention group. During the 18-month study period (July 199...Continue Reading

References

Mar 4, 1993·Quality Management in Health Care·R J CoffeyP J Baldwin

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Citations

Sep 18, 2007·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Maruscha de VriesHuub A A M Maas
Dec 12, 2007·Journal of Evaluation in Clinical Practice·Noha El BazSijmen A Reijneveld
Aug 21, 2012·Asian Pacific Journal of Cancer Prevention : APJCP·Kerime Derya Beydag, Nuran Kömürcü
Jun 3, 2008·American Journal of Obstetrics and Gynecology·Dana M ChaseBradley J Monk
Mar 29, 2018·International Journal of Integrated Care·Anum Irfan KhanVishal Kukreti
Nov 3, 2010·Environmental Geochemistry and Health·P N PegasM C Freitas
Apr 18, 2017·Health Information Science and Systems·Jessica PinairePaul Landais

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