Interdisciplinary aerodigestive care model improves risk, cost, and efficiency.
Int J Pediatr Otorhinolaryngol
; 113: 119-123, 2018 Oct.
Article
in En
| MEDLINE
| ID: mdl-30173969
ABSTRACT
OBJECTIVE:
This study sought to evaluate the impact of an interdisciplinary care model for pediatric aerodigestive patients in terms of efficiency, risk exposure, and cost.METHODS:
Patients meeting a standard clinical inclusion definition were studied before and after implementation of the aerodigestive program.RESULTS:
Aerodigestive patients seen in the interdisciplinary clinic structure achieved a reduction in time to diagnosis (6 vs 150 days) with fewer required specialist consultations (5 vs 11) as compared to those seen in the same institution prior. Post-implementation patients also experienced a significant reduction in risk, with fewer radiation exposures (2 vs 4) and fewer anesthetic episodes (1 vs 2). Total cost associated with the diagnostic evaluation was significantly reduced from a median of $10,374 to $6055.CONCLUSION:
This is the first study to utilize a pre-post cohort to evaluate the reduction in diagnostic time, risk exposure, and cost attributable to the reorganization of existing resources into an interdisciplinary care model. This suggests that such a model yields improvements in care quality and value for aerodigestive patients, and likely for other pediatric patients with chronic complex conditions.Key words
Full text:
1
Collection:
01-internacional
Health context:
1_ASSA2030
/
3_ND
Database:
MEDLINE
Main subject:
Patient Care Team
/
Respiratory Tract Diseases
/
Gastrointestinal Diseases
Type of study:
Etiology_studies
/
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
En
Journal:
Int J Pediatr Otorhinolaryngol
Year:
2018
Document type:
Article