IMPACT OF PHYSICIAN AWARENESS ON HOSPITAL CHARGES FOR RADICAL RETROPUBIC PROSTATECTOMY

被引:8
作者
KRAMOLOWSKY, EV [1 ]
WOOD, NL [1 ]
ROLLINS, KL [1 ]
GLASHEEN, WP [1 ]
NELSON, CMK [1 ]
机构
[1] VIRGINIA COMMONWEALTH UNIV,MED COLL VIRGINIA,DIV UROL,RICHMOND,VA 23298
关键词
PROSTATE; PROSTATECTOMY; CAST CENTRAL; COST-BENEFIT ANALYSIS; PHYSICIAN PRACTICE PATTERNS;
D O I
10.1016/S0022-5347(01)67249-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We determine if physician awareness of hospital costs for radical retropubic prostatectomy affects physician practice patterns. Materials and Methods: We reviewed 256 consecutive radical retropubic prostatectomies performed by 14 urologists during 4 years at a community hospital. After 2 years the physicians were provided information on factors that may decrease charges. Results: Charges decreased significantly following intervention, from $17,134 within the initial 2 years to $13,826 within the last 2 years (p <0.005). Significant decreases were noted for length of stay, need for intensive care, operating time and blood loss. Conclusions: Traditional methods of physician education can impact practice patterns to decrease hospital charges for radical retropubic prostatectomy.
引用
收藏
页码:139 / 142
页数:4
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