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Start-up of a Cardiology Day Hospital: Activity, Quality Care and Cost-effectiveness Analysis of the First Year of Operation.
- Source :
-
Revista espanola de cardiologia (English ed.) [Rev Esp Cardiol (Engl Ed)] 2019 Feb; Vol. 72 (2), pp. 130-137. Date of Electronic Publication: 2018 May 21. - Publication Year :
- 2019
-
Abstract
- Introduction and Objectives: The cardiology day hospital (CDH) is an alternative to hospitalization for scheduled cardiological procedures. The aims of this study were to analyze the activity, quality of care and the cost-effectiveness of a CDH.<br />Methods: An observational descriptive study was conducted of the health care activity during the first year of operation of DHHA. The quality of care was analyzed through the substitution rate (outpatient procedures), cancellation rates, complications, and a satisfaction survey. For cost-effectiveness, we calculated the economic savings of avoided hospital stays.<br />Results: A total of 1646 patients were attended (mean age 69 ± 15 years, 60% men); 2550 procedures were scheduled with a cancellation rate of 4%. The most frequently cancelled procedure was electrical cardioversion. The substitution rate for scheduled invasive procedures was 66%. Only 1 patient required readmission after discharge from the CDH due to heart failure. Most surveyed patients (95%) considered the care received in the CDH to be good or very good. The saving due to outpatient-converted procedures made possible by the CDH was € 219 199.55, higher than the cost of the first year of operation.<br />Conclusions: In our center, the CDH allowed more than two thirds of the invasive procedures to be performed on an outpatient basis, while maintaining the quality of care. In the first year of operation, the expenses due to its implementation were offset by a significant reduction in hospital admissions.<br /> (Copyright © 2018 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Aged
Ambulatory Surgical Procedures economics
Ambulatory Surgical Procedures standards
Coronary Care Units economics
Coronary Care Units standards
Cost-Benefit Analysis
Day Care, Medical economics
Delivery of Health Care economics
Delivery of Health Care standards
Female
Hospitalization statistics & numerical data
Humans
Male
Patient Acceptance of Health Care statistics & numerical data
Patient Satisfaction
Postoperative Complications economics
Postoperative Complications etiology
Retrospective Studies
Spain
Thoracic Surgical Procedures economics
Thoracic Surgical Procedures standards
Thoracic Surgical Procedures statistics & numerical data
Day Care, Medical standards
Quality of Health Care
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 1885-5857
- Volume :
- 72
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Revista espanola de cardiologia (English ed.)
- Publication Type :
- Academic Journal
- Accession number :
- 29793830
- Full Text :
- https://doi.org/10.1016/j.rec.2018.04.005