PROCESS AND RESULTS OF IMPLEMENTING DISEASE MANAGEMENT PRO-GRAM IN PATIENTS WITH FIRST-TIME ISCHEMIC STROKE

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YANG HONG RONG; MA LEI; JIANG YI FENG; WU YUN CHENG; C.LAI EUGENE; ZHU YAN HONG

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Journal: Iranian Journal of Public Health Year:2018 | Volume:47 | Issue:7 Page(s): 1007-1016

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Title

PROCESS AND RESULTS OF IMPLEMENTING DISEASE MANAGEMENT PRO-GRAM IN PATIENTS WITH FIRST-TIME ISCHEMIC STROKE

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Keywords

DISEASE MANAGEMENT PROGRAM

ISCHEMIC STROKE

AVERAGE LENGTH OF STAY

COST-EFFECTIVENESS ANALYSIS

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.

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APA: Copy

YANG, HONG RONG, MA, LEI, JIANG, YI FENG, WU, YUN CHENG, C.LAI, EUGENE, & ZHU, YAN HONG. (2018). PROCESS AND RESULTS OF IMPLEMENTING DISEASE MANAGEMENT PRO-GRAM IN PATIENTS WITH FIRST-TIME ISCHEMIC STROKE. IRANIAN JOURNAL OF PUBLIC HEALTH, 47(7), 1007-1016. SID. https://sid.ir/paper/274842/en

Vancouver: Copy

YANG HONG RONG, MA LEI, JIANG YI FENG, WU YUN CHENG, C.LAI EUGENE, ZHU YAN HONG. PROCESS AND RESULTS OF IMPLEMENTING DISEASE MANAGEMENT PRO-GRAM IN PATIENTS WITH FIRST-TIME ISCHEMIC STROKE. IRANIAN JOURNAL OF PUBLIC HEALTH[Internet]. 2018;47(7):1007-1016. Available from: https://sid.ir/paper/274842/en

IEEE: Copy

HONG RONG YANG, LEI MA, YI FENG JIANG, YUN CHENG WU, EUGENE C.LAI, and YAN HONG ZHU, “PROCESS AND RESULTS OF IMPLEMENTING DISEASE MANAGEMENT PRO-GRAM IN PATIENTS WITH FIRST-TIME ISCHEMIC STROKE,” IRANIAN JOURNAL OF PUBLIC HEALTH, vol. 47, no. 7, pp. 1007–1016, 2018, [Online]. Available: https://sid.ir/paper/274842/en

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