Critical Pathways for Cesarean Section.
- Author:
Hye Won JUNG
;
Hye Sung MOON
;
Eun Hee PARK
;
Eun Young SHIM
;
Joo Yeon OH
;
Sun Joo LEE
;
Gyung Rye HAN
;
Jung Ja AN
- Publication Type:Original Article
- Keywords:
Diagnosed Related Groups ( DRG );
Critical pathways;
C-section;
Cost effectiveness
- MeSH:
Cesarean Section*;
Cost-Benefit Analysis;
Critical Pathways*;
Diagnosis-Related Groups;
Female;
Humans;
Length of Stay;
Patient Satisfaction;
Pharmacists;
Pregnancy;
Prospective Studies
- From:Korean Journal of Obstetrics and Gynecology
2000;43(11):2020-2026
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: The critical pathways provide high quality of medical services in a cost-effective manner. To investigate the decrease in length of hospital stay and increase of cost effectiveness by using critical pathways, we compared hospital stay, cost of treatment, and the patient's satisfaction before and after critical pathway use. METHODS: We made a critical pathway team, which consisted of obstetric staff members, a resident, two nurses, a pharmacist, two clerical staff members. We made critical pathways for the medical team and patients. A prospective evaluation of a critical pathway for cesarean section was used as a comparison for control patients. RESULTS: The data for 305 patients with a critical pathway were compared to those of 136 control patients. The mean hospital stay is shorter in critical pathway patients than control patients. The cost of treatment decreased and differences between DRG (Diagnosed Related Groups) and cost of treatment increased in critical pathway patients. CONCLUSIONS: Using critical pathways in cesarean section decreased the duration of hospital stay and increased cost effectivesess. The critical pathways were useful as a means to minimize cost while increasing patient satisfaction.
