Cost-efficient radical prostatectomy.
Radical retropubic prostatectomy is an easily standardized procedure with reproducible outcomes. Care has been standardized at our institution through the use of a collaborative care approach that defines the optimal care and outcomes for the ideal patient on a daily basis. This approach is based on an objective evaluation of the available medical literature. With this program, hospital charges have been reduced by 41% and hospital stay has been reduced to 2.9 days. Surgical outcomes have been excellent with low morbidity rates and excellent patient acceptance. Collaborative care programs for health care provide a comprehensive approach that allows for the delivery of cost-efficient care, which is supportive of the patient and allows continual refinement in care based on objective analysis of outcomes.
Koch
M O
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Department of Urology, Vanderbilt University Medical Center, Nashville, TN 37232-2765, USA.
D003363:Cost Control; D003362:Cost-Benefit Analysis; D019091:Critical Pathways / Q000458:organization & administration*; D017598:Efficiency, Organizational; D017722:Hospital Charges; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D015397:Program Evaluation; D011468:Prostatectomy / Q000191:economics / Q000379:methods / Q000451:nursing; D016896:Treatment Outcome