Linked Life Data

9017678

Source:http://linkedlifedata.com/resource/pubmed/id/9017678

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1997-3-28
pubmed:abstractText
Healthcare reform continues to move forward, with the influence of managed care increasing in most areas of the United States. Strategies for cost containment are being considered to limit marginally beneficial health care, including futile-care policies, capitation, preset limits on health care, and guidelines for writing do-not-resuscitate (DNR) orders. Recent studies which attempted to improve communication between patients and physicians have failed to improve the quality of end-of-life care offered by healthcare providers. In other recent works, the timing of when DNR orders are written has been associated with shortening needed hospital and ICU care, as well as effecting significant reductions in resources utilized. This study reviews the current literature with respect to the timing of when DNR orders are written. We present a conservative estimate that for each ICU patient moved from late DNR to early DNR status, approximately $10,000 per patient could be saved. Moreover, approximately 0.5% of all ICU care could be limited should DNR orders be written earlier in a patient's hospital or ICU stay. In addition, a shift from open-format ICUs to semiclosed units managed by qualified critical care physician directors would reduce the number of patients with futile or failed cardiopulmonary resuscitation, and increase the number of patients having care withheld or withdrawn after failed ICU therapy. Such a change would result in more substantial savings.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1063-7389
pubmed:author
pubmed:issnType
Print
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
51-5
pubmed:dateRevised
2005-11-16
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
Economic implications of the timing of do-not-resuscitate orders for ICU patients.
pubmed:affiliation
Department of Medicine, Baystate Medical Center, Springfield, MA 01199-0001, USA.
pubmed:publicationType
Journal Article, Review