The impact of a postsurgical intermediate care unit on patient outcomes, length of stay, and hospital costs

Intermediate care for postoperative patients has evolved in response to the specialized needs of post-surgical patients. Studies demonstrating the impact of intermediate care units on cost effectiveness and patient outcomes are lacking. The purpose of this proposed study was to evaluate the impact o...

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Bibliographic Details
Main Author: Carrick, Linda Ann
Format: Dissertation
Language:English
Published: ProQuest Dissertations & Theses 01-01-1995
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Summary:Intermediate care for postoperative patients has evolved in response to the specialized needs of post-surgical patients. Studies demonstrating the impact of intermediate care units on cost effectiveness and patient outcomes are lacking. The purpose of this proposed study was to evaluate the impact of intermediate care on such patient outcomes as psychological distress as measured by the MAACL-R State Form and post-surgical complications, as well as institutional outcomes such as length of stay in the Intensive Care Unit, total length of hospitalization, and hospital charges and costs associated with intermediate care and total hospitalization. Data collection on a cohort of 180 subjects was obtained prior to the opening of an intermediate care unit. Once the intermediate care unit was in full operation, data were collected on another cohort of 215 subjects. Group comparisons using ANCOVA and non-parametric statistics were conducted to determine differences between outcomes for patients who received intermediate care and those who did not.
ISBN:9798209332978