Process and results of implementing disease management program in patients with first-time ischemic stroke

Hong Rong Yang, Lei Ma, Yi Feng Jiang, Yun Cheng Wu, Eugene C. Lai, Yan Hong Zhu

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: This study aimed to examine the effect of disease management program (DMP) on the patients with first-time ischemic stroke (IS). Methods: A DMP with 4 parts of performance indicators (PIs, including outpatient, emergency department, inpatient and follow-up treatment) was implemented in patients with stroke in 2 hospitals (Hospital T and R) in Shanghai China from 2007-2010. The effect of DMP on the outcome of IS patients was analyzed according to the criteria of the National Institute of Health Stroke Scale (NIHSS). Furthermore, the total effective rate of DMP, average length of stay, hospitalization cost, and cost-effectiveness ratio (CER) between DMP and non-DMP patients were calculated, followed by the cost-effectiveness analysis. Results: The total effective rate of DMP (T: 69.9%; R: 76.6%) was significantly (P<0.05) higher than that of non-DMP (T: 60.8%; R: 62.7%) group in the same hospital. In addition, a significant (P<0.05) difference in effective rate was observed between DMP and non-DMP at the NIHSS score ≥ 7. Furthermore, the average length of stay and hospitalization cost of the patients in DMP group were significantly (P<0.05) lower than those in non-DMP group. A superior CER was also found in DMP group than non-DMP group. Conclusion: The implementation of DMP for IS can effectively improve the treatment outcome and reduce the average length of stay and hospitalization cost.

Original languageEnglish (US)
Pages (from-to)1007-1016
Number of pages10
JournalIranian Journal of Public Health
Volume47
Issue number7
StatePublished - Jul 2018

Keywords

  • Average length of stay
  • Cost-effectiveness analysis
  • Disease management program
  • Ischemic stroke

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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