應用個案管理於控制消化性潰瘍合併出血病患照護品質及成本效益之成效探討

Translated title of the contribution: Application of Case Management on Patients with UGI Bleeding: Examining Quality of Care and Cost Benefit

盧美秀, 魏玲玲, 廖美南, 徐美玲

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to investigate the application of case management in self-care knowledge, satisfaction with health care, length of stays,and medical cost. A quasi-experimental design was used in this study. Based on the hospitalization diagnosis and thestudy inclusion criterion, the total sample consisted of 79 subjects with UGI bleeding.
The subjects were divided into two groups, 42 subjects in the experimental group and 37 subjects in the control group. Subjects in the experimental group were handled with the case management method, where as subjects in the control group received routine care. Content was examined to determine the validity in this study. The Kuder-Richardson 20 method was used to evaluate of self-care scale (KR20= 0.81); and Cronbach’s alpha method was used for the satisfaction scale ( =0.96). Inter reliability for agreement among the researchers was examined using the Kappa method and the cofficient was 0.89. Data were collected by using the demographic data sheet, the self-care knowledge scale, the satisfactory questionnaire, and the patient’s chart. Data also were collected from the center of research institution. The pre-test was done by researcher within 24 hours after patient’s hospitalization, and the post-test was done on the day of patient’s discharge. Data were analyzed by using the chi-square test, t-test, pair t-test, and pearson’ conelation. The results indicated that the experimental group was significantly higher in self-care knowledge and patient’s satisfaction with medical health care. The experimental group was significantly less in the average length of stays (reduced 2.85 days) and medical cost (reduced by NT$5411.21). Based on the results of the study, it was concluded that the case management method could effectively control quality of care, length of stays and medical cost in UGI-bleeding patients. In addition, when insurance payment policies undergo change, the findings of this study will provide nursing administrators as a reference on managing quality and cost.
Translated title of the contributionApplication of Case Management on Patients with UGI Bleeding: Examining Quality of Care and Cost Benefit
Original languageTraditional Chinese
Pages (from-to)81-89
Number of pages9
Journal新臺北護理期刊
Volume1
Issue number1
DOIs
Publication statusPublished - 1999

Keywords

  • Case Management
  • Quality of Care
  • Cost Benefit

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