Specialty-specific admission: a cost-effective intervention?

Hdl Handle:
http://hdl.handle.net/10147/207339
Title:
Specialty-specific admission: a cost-effective intervention?
Authors:
Slattery, E; Harewood, G C
Affiliation:
Department of Gastroenterology, Beaumont Hospital, Beaumont Road, Dublin 9,, Ireland, Slattery.eoin@gmail.com.
Citation:
Ir J Med Sci. 2012 Mar;181(1):87-91. Epub 2011 Sep 21.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207339
DOI:
10.1007/s11845-011-0758-5
PubMed ID:
21938442
Abstract:
INTRODUCTION: Cost effectiveness of healthcare has become an important component in its delivery. Current practices need to be assessed and measured for variations that may lead to financial savings. Speciality specific admission is known not only to lead improved clinical outcomes but also to lead important cost reductions. METHODS: All patients admitted to an Irish teaching hospital via the emergency department over a 2-year period with a gastroenterology (GI) related illness were included in this analysis.GI illness was classified using the Disease related grouping (DRG) system. Mean length of stay (LOS) and patient level costing (PLC) were calculated. Differences between DRGs with respect to speciality (i.e. specialist vs. non-specialist) were calculated for the five commonest DRGs. RESULTS: Significant variations in LOS and PLC were demonstrated in the DRGs. Mean LOS varied with increasing complexity, from 3.2 days for non-complex GI haemorrhage to 14.4 days for complex alcohol related cirrhosis as expected. A substantial difference in LOS within DRG groups was demonstrated by large standard deviations in the mean (up to 8.1 days in some groups) and was independent of complexity of cases. PLC also varied widely in both complex and non-complex cases with standard deviations of up to <euro>17,342 noted. Specialty-specific admission was associated with shorter LOS for most GI admissions. CONCLUSION: Significant disparity exists for both LOS and PLC for most GI diagnoses. Specialty-specific admissions are associated with reduced LOS. Specialty-specific admission would appear to be cost-effective which may also lead to improved clinical outcomes.
Language:
eng
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorSlattery, Een_GB
dc.contributor.authorHarewood, G Cen_GB
dc.date.accessioned2012-02-01T10:05:12Z-
dc.date.available2012-02-01T10:05:12Z-
dc.date.issued2012-02-01T10:05:12Z-
dc.identifier.citationIr J Med Sci. 2012 Mar;181(1):87-91. Epub 2011 Sep 21.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid21938442en_GB
dc.identifier.doi10.1007/s11845-011-0758-5en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207339-
dc.description.abstractINTRODUCTION: Cost effectiveness of healthcare has become an important component in its delivery. Current practices need to be assessed and measured for variations that may lead to financial savings. Speciality specific admission is known not only to lead improved clinical outcomes but also to lead important cost reductions. METHODS: All patients admitted to an Irish teaching hospital via the emergency department over a 2-year period with a gastroenterology (GI) related illness were included in this analysis.GI illness was classified using the Disease related grouping (DRG) system. Mean length of stay (LOS) and patient level costing (PLC) were calculated. Differences between DRGs with respect to speciality (i.e. specialist vs. non-specialist) were calculated for the five commonest DRGs. RESULTS: Significant variations in LOS and PLC were demonstrated in the DRGs. Mean LOS varied with increasing complexity, from 3.2 days for non-complex GI haemorrhage to 14.4 days for complex alcohol related cirrhosis as expected. A substantial difference in LOS within DRG groups was demonstrated by large standard deviations in the mean (up to 8.1 days in some groups) and was independent of complexity of cases. PLC also varied widely in both complex and non-complex cases with standard deviations of up to <euro>17,342 noted. Specialty-specific admission was associated with shorter LOS for most GI admissions. CONCLUSION: Significant disparity exists for both LOS and PLC for most GI diagnoses. Specialty-specific admissions are associated with reduced LOS. Specialty-specific admission would appear to be cost-effective which may also lead to improved clinical outcomes.en_GB
dc.language.isoengen_GB
dc.titleSpecialty-specific admission: a cost-effective intervention?en_GB
dc.contributor.departmentDepartment of Gastroenterology, Beaumont Hospital, Beaumont Road, Dublin 9,, Ireland, Slattery.eoin@gmail.com.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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