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.
journal_name
Iran J Public Healthjournal_title
Iranian journal of public healthauthors
Yang HR,Ma L,Jiang YF,Wu YC,Lai EC,Zhu YHsubject
Has Abstractpub_date
2018-07-01 00:00:00pages
1007-1016issue
7eissn
2251-6085issn
2251-6093journal_volume
47pub_type
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
pub_type: 杂志文章
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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journal_title:Iranian journal of public health
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doi:
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