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안정형 협심증 환자의 효율적인 진료관리를 위한 진료관련 인자의 분석과 예측

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Author(s)
조윤경김윤년김형섭남창욱한성욱허승호김권배
Alternative Author(s)
Han, Seong WookCho, Yun KyeongKim, Yoon NyunKim, Hyung SeopNam, Chang WookKim, Kwon BaeHur, Seung Ho
Issued Date
2008
Keyword
Clinical pathwayCritical pathwayStable angina
Abstract
The current health care system demands provisions for patient care in perspectives
of cost-effectiveness and patient's satisfaction. The most popular methods intended to meet this
challenge are critical pathways. Critical or clinical pathways display goals for patients and provide
the ideal sequence and timing of staff actions. In this study; a critical pathway was developed for
stable angina. In order to identify the overall service contents; 1;547 patients who were diagnosed
as stable angina and admitted into Dongsan Medical Center between January 2004 and December
2005; were included. After analyzing the frequency of the tests and medications; we classified by
necessity compared with the days of hospitalization. And we consulted with three cardiologists
about clinical validity. The proportion of the males to females was 1.32 : 1 and the average age of
the patients was 62.4 years old. The mean hospitalization was 5.8 days. The "mandatory"
medication included vasodilator; antiplatelet agent and beta-adrenergic receptor blocker. And the
"mandatory" test included simple chest radiography(PA view); electrocardiography;
echocardiography and coronary angiography. On the basis of the results of the study; we can
choose the appropriate test and medication and make a critical pathway for stable angina. If we
will implement this critical pathway; we can reduce the hospitalization by three days and increase
the satisfaction of the patients with medical team simultaneously.
Alternative Title
Analysis and Prediction of Medical Parameters
for Effective Case Management in Stable Angina
Department
Dept. of Internal Medicine (내과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.27(1) : 59-68-59-68, 2008
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/40266
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2008
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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