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Related Experiment Videos

Outcomes assessment: at what cost?

J Bostrom1, T McDonald

  • 1Stanford Health Services, CA, USA.

Managed Care Quarterly
|March 3, 1996
PubMed
Summary

Comprehensive outcomes assessment for managed care is feasible but costly. Pilot study using the Short Form 36 (SF-36) found pre- and post-admission surveys exceed $60 per patient, indicating higher costs for tailored assessments.

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Area of Science:

  • Health Services Research
  • Managed Care Evaluation
  • Patient Outcomes

Background:

  • Outcomes assessment is crucial for evaluating managed care effectiveness.
  • Limited data exists on the feasibility and costs of comprehensive outcomes assessment programs.
  • Managed care organizations increasingly focus on patient outcomes.

Purpose of the Study:

  • To assess the feasibility and cost of a comprehensive outcomes assessment program.
  • To evaluate the utility of the Short Form 36 (SF-36) for pre- and post-admission patient assessment.
  • To inform strategies for cost-effective outcomes measurement in managed care.

Main Methods:

  • Pilot study involving over 200 patients undergoing elective hospital admission.
  • Utilized the Short Form 36 (SF-36) for data collection.
  • Administered surveys pre-admission (one week prior) and post-discharge (three months after).

Main Results:

  • The cost for a complete set of pre- and post-surveys exceeded $60 per patient.
  • SF-36 data suggests the need for diagnosis-specific instruments.
  • Survey timing significantly impacts outcomes assessment data quality.

Conclusions:

  • Comprehensive outcomes assessment is feasible but incurs significant costs.
  • Diagnosis-specific instruments and optimized survey timing are essential for robust outcomes assessment.
  • Future managed care evaluations require careful consideration of assessment costs and methodology.

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