Patient satisfaction with short stays for radical prostatectomy

被引:24
作者
Litwin, MS
Shpall, AI
Dorey, F
机构
[1] UNIV CALIF LOS ANGELES,SCH MED,DEPT HLTH SERV,LOS ANGELES,CA 90095
[2] UNIV CALIF LOS ANGELES,SCH PUBL HLTH,DEPT UROL,LOS ANGELES,CA 90095
[3] UNIV CALIF LOS ANGELES,SCH PUBL HLTH,DEPT HLTH SERV,LOS ANGELES,CA 90095
[4] UNIV CALIF LOS ANGELES,SCH PUBL HLTH,DEPT BIOSTAT,LOS ANGELES,CA 90024
关键词
D O I
10.1016/S0090-4295(97)00103-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives. We evaluated the effects on patient satisfaction of shortened postoperative hospital stays after radical retropubic prostatectomy (RRP). Methods. A previously validated, self-administered instrument was used to assess satisfaction with care in a retrospective, cross-sectional study of 129 men who had undergone RRP after implementation of a short-stay clinical care pathway. Health-related quality of life outcomes, comorbidity, and sociodemographic data were also measured with established instruments. Results. Satisfaction with care was uniformly high and did not vary with length of stay (LOS), time since surgery, or health-related quality of life. Conclusions. Decreased LOS mandated by the need for a cost-efficiency path does not adversely affect patient satisfaction. (C) 1997, Elsevier Science Inc.
引用
收藏
页码:898 / 905
页数:8
相关论文
共 28 条
[1]  
Cronbach LJ, 1951, PSYCHOMETRIKA, V16, P297
[2]   EFFECT OF RADICAL PROSTATECTOMY FOR PROSTATE-CANCER ON PATIENT QUALITY-OF-LIFE - RESULTS FROM A MEDICARE SURVEY [J].
FOWLER, FJ ;
BARRY, MJ ;
LUYAO, G ;
WASSON, J ;
ROMAN, A ;
WENNBERG, J .
UROLOGY, 1995, 45 (06) :1007-1013
[3]   RADICAL PROSTATECTOMY FOR STAGE-A2 AND STAGE-B PROSTATIC CARCINOMA - OPERATIVE EXPERIENCE [J].
FOWLER, JE .
UROLOGY, 1985, 26 (01) :1-3
[4]   SHORT SURGICAL STAY - 2 HOSPITAL DAYS FOR CHOLECYSTECTOMY [J].
HALL, RC .
AMERICAN JOURNAL OF SURGERY, 1987, 154 (05) :510-514
[5]  
Hays R D, 1993, Health Econ, V2, P217, DOI 10.1002/hec.4730020305
[6]   HOSPITAL QUALITY TRENDS - A SHORT-FORM PATIENT-BASED MEASURE [J].
HAYS, RD ;
LARSON, C ;
NELSON, EC ;
BATALDEN, PB .
MEDICAL CARE, 1991, 29 (07) :661-668
[7]  
Hoekstra Todd, 1996, Journal of Urology, V155, p555A
[8]   THE EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS - AN INTRODUCTION TO THE SERIES [J].
KAHN, KL ;
RUBENSTEIN, LV ;
DRAPER, D ;
KOSECOFF, J ;
ROGERS, WH ;
KEELER, EB ;
BROOK, RH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (15) :1953-1955
[9]   Maintaining quality of care and patient satisfaction with radical prostatectomy in the era of cost containment [J].
Klein, EA ;
Grass, JA ;
Calabrese, DA ;
Kay, RA ;
Sargeant, W ;
OHara, JF .
UROLOGY, 1996, 48 (02) :269-276
[10]   PROSPECTIVE DEVELOPMENT OF A COST-EFFICIENT PROGRAM FOR RADICAL RETROPUBIC PROSTATECTOMY [J].
KOCH, MO ;
SMITH, JA ;
HODGE, EM ;
BRANDELL, RA .
UROLOGY, 1994, 44 (03) :311-318