Impact of gastroenterology consultation on the outcomes of patients admitted to the hospital with decompensated cirrhosis
Impact of gastroenterology consultation on the outcomes of patients admitted to the hospital with decompensated cirrhosis
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DOI：
10.1053/jhep.2001.29204
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发表时间：
2001-12-01
期刊：
影响因子：
13.5
通讯作者：
Komorowski, T
中科院分区：
文献类型：
--
作者：
Bini, EJ;Weinshel, EH;Komorowski, T
管理式医疗强烈地阻止了通才医生为了降低医疗费用而将病人转介给专科医生。本研究的目的是比较当全科医生与胃肠病学家一起工作或单独管理失代偿期肝硬化住院患者时患者的结局。连续1年以上的失代偿期肝硬化患者入院进行鉴定。我们比较了进行和未进行胃肠病学（GI）会诊的患者的住院时间、住院费用、再入院率和死亡率。197例患者中有107例（54.3%）要求进行GI咨询。接受GI会诊的患者住院时间明显缩短（5.6 +/- 3.5 vs. 10.1 +/- 5.8天，P
Managed care has strongly discouraged generalists from referring patients to specialists in an effort to reduce the costs of health care. The aim of this study was to compare patient outcomes when generalists work together with gastroenterologists or alone in the management of patients admitted to the hospital with decompensated cirrhosis. Consecutive patients admitted to the hospital with decompensated cirrhosis over a 1-year period were identified. We compared the length of stay, cost of hospitalization, incidence of hospital readmission, and mortality for patients who did and those who did not have a gastroenterology (GI) consultation. A GI consultation was requested for 107 of the 197 patients (54.3%). Patients who had a GI consultation had a significantly shorter length of stay (5.6 +/- 3.5 vs. 10.1 +/- 5.8 days, P