Total hip replacement: A case history

被引:7
作者
Keston, VJ [1 ]
Enthoven, AC
机构
[1] Stanford Univ, Sch Business, Stanford, CA 94305 USA
[2] Stanford Univ, Grad Sch Business, Stanford, CA 94305 USA
关键词
economics; hip replacement; process improvement;
D O I
10.1097/00004010-199801000-00002
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The history of total hip replacement in the U.S. demonstrates that health care providers can reduce costs while improving quality. Nationwide, the cost of total hip replacements has declined dramatically while quality has improved. This article describes 14 clinical and management innovations ranging from patient education to competitive bidding.
引用
收藏
页码:7 / 17
页数:11
相关论文
共 42 条
[1]   TRANSFUSION-INDUCED IMMUNOMODULATION AND INFECTION [J].
ALEXANDER, JW .
TRANSFUSION, 1991, 31 (03) :195-196
[2]   THE HOSPITAL COST OF TOTAL HIP-ARTHROPLASTY - A COMPARISON BETWEEN 1981 AND 1990 [J].
BARBER, TC ;
HEALY, WL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1993, 75A (03) :321-325
[3]   THE COST-EFFECTIVENESS OF PREOPERATIVE AUTOLOGOUS BLOOD DONATION FOR TOTAL HIP AND KNEE REPLACEMENT [J].
BIRKMEYER, JD ;
GOODNOUGH, LT ;
AUBUCHON, JP ;
NOORDSIJ, PG ;
LITTENBERG, B .
TRANSFUSION, 1993, 33 (07) :544-551
[4]  
BORRIS LC, 1994, INT J CLIN PHARM TH, V32, P262
[5]  
Bourne R B, 1994, Iowa Orthop J, V14, P108
[6]  
Bourne R B, 1995, Can J Surg, V38 Suppl 1, pS61
[7]   DESIGNER HIPS [J].
BULSTRODE, CJK ;
MURRAY, DW ;
CARR, AJ ;
PYNSENT, PB ;
CARTER, SR .
BRITISH MEDICAL JOURNAL, 1993, 306 (6880) :732-733
[8]  
CARTER SR, 1992, P I MECH ENG JOINT R, P21
[9]   THE TIMING OF PROPHYLACTIC ADMINISTRATION OF ANTIBIOTICS AND THE RISK OF SURGICAL-WOUND INFECTION [J].
CLASSEN, DC ;
EVANS, RS ;
PESTOTNIK, SL ;
HORN, SD ;
MENLOVE, RL ;
BURKE, JP .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (05) :281-286
[10]  
COHEN P, 1995, NURS TIMES, V92, P17