Economic outcomes after heart valve replacement surgery in Germany

被引：3

作者：

Bergemann, R ^{[1
]}

Müller, E ^{[1
]}

机构：

[1] Inst Med Outcome Res, D-79539 Lorrach, Germany

来源：

EUROPEAN HEART JOURNAL SUPPLEMENTS | 2001年 / 3卷 / 0Q期

关键词：

financing; health care; heart valve replacement; inpatients; medical devices; outpatients; public health; sectional financing;

D O I：

10.1016/S1520-765X(01)90047-1

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Sectional financing in the German health care and hospital system is one of the causes of suboptimal decisions in the field of heart valve replacement. Decisions are based on the impact made on hospitals' budgets and not on the direct and indirect lifetime costs associated with artificial heart valve implants. The current process of decision-making should be redefined in order to achieve the best results for the patient and for society as a whole. (C) 2001 The European Society of Cardiology.

引用

收藏

页码：Q70 / Q72

页数：3

相关论文

共 13 条

[1]

AREVA: Multicenter randomized comparison of low-dose versus standard-dose anticoagulation in patients with mechanical prosthetic heart valves [J].

Acar, J ;

Iung, B ;

Boissel, JP ;

Samama, MM ;

Michel, PL ;

Teppe, JP ;

Pony, JC ;

LeBreton, H ;

Thomas, D ;

Isnard, R ;

deGevigney, G ;

Viguier, E ;

Sfihi, A ;

Hanania, G ;

Ghannem, M ;

Mirode, A ;

Nemoz, C ;

Bossard, N ;

Rolland, C ;

Lion, L ;

Marsault, C ;

Ferroir, JP ;

Conard, J ;

Laborde, JP ;

Logeais, Y ;

Delahaye, JP ;

Guerin, F ;

Lainee, R ;

Lesbre, JP .

CIRCULATION, 1996, 94 (09) :2107-2112

[2]

Comparison of high-dose with low-dose aspirin in patients with mechanical heart valve replacement treated with oral anticoagulant [J].

Altman, R ;

Rouvier, J ;

Gurfinkel, E ;

Scazziota, A ;

Turpie, AGG .

CIRCULATION, 1996, 94 (09) :2113-2116

[3]

LONG-TERM RESULTS OF VALVE-REPLACEMENT WITH THE ST-JUDE MEDICAL PROSTHESIS [J].

BAUDET, EM ;

PUEL, V ;

MCBRIDE, JT ;

GRIMAUD, JP ;

ROQUES, F ;

CLERC, F ;

ROQUES, X ;

LABORDE, N .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 109 (05) :858-870

[4]

BLAIR KL, 1994, CIRCULATION, V90, P214

[5]

THROMBOEMBOLIC RISK AND LATE SURVIVAL AFTER MITRAL-VALVE REPLACEMENT WITH THE ST-JUDE MEDICAL VALVE [J].

JEGADEN, O ;

EKER, A ;

DELAHAYE, F ;

MONTAGNA, P ;

OSSETTE, J ;

DEGEVIGNEY, GD ;

MIKAELOFF, PH .

ANNALS OF THORACIC SURGERY, 1994, 58 (06) :1721-1727

[6]

Aortic valve replacement with the St. Jude Medical prosthesis and fixed dose anticoagulation [J].

Katircioglu, SF ;

Yamak, B ;

Ulus, AT ;

Iscan, HZ ;

Mavitas, B ;

Tasdemir, O .

JOURNAL OF CARDIAC SURGERY, 1997, 12 (06) :363-370

[7]

Katircioglu SF, 1998, J HEART VALVE DIS, V7, P455

[8]

Katsuki T, 1994, J Cardiol, V24, P203

[9]

Thromboembolism and mechanical heart valves: A randomized study revisited [J].

Kuntze, CEE ;

Blackstone, EH ;

Ebels, T .

ANNALS OF THORACIC SURGERY, 1998, 66 (01) :101-107

[10]

Low-intensity oral anticoagulation plus low-dose aspirin versus high-intensity oral anticoagulation alone: A randomized trial in patients with mechanical prosthetic heart valves [J].

Meschengieser, SS ;

Fondevila, CG ;

Frontroth, J ;

Santarelli, MT ;

Lazzari, MA .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1997, 113 (05) :910-916