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関連する概念動画

Documentation in Long-Term and Home Healthcare Setting01:29

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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このページは機械翻訳されています。他のページは英語で表示される場合があります。View in English
  1. ホーム
  3. 研究分野
  5. 生物医学と臨床科学
  7. 心血管医学と血液学
  9. 心臓病 (心血管疾患を含む)
  11. Momentum 3 長期的な成果研究における医療資源利用と費用の影響
  1. ホーム
  3. 研究分野
  5. 生物医学と臨床科学
  7. 心血管医学と血液学
  9. 心臓病 (心血管疾患を含む)
  11. Momentum 3 長期的な成果研究における医療資源利用と費用の影響

関連する実験動画

High-density Electroencephalographic Acquisition in a Rodent Model Using Low-cost and Open-source Resources
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MOMENTUM 3 長期的な成果研究における医療資源利用と費用の影響

Mandeep R Mehra1, Christopher Salerno2, Joseph C Cleveland3

  • 1Brigham and Women's Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (M.R.M.).

Circulation
|May 30, 2018

PubMed で要約を見る

まとめ
この要約は機械生成です。

ハートメイト3 (HM3) の左心室補助システムは,ハートメイトII (HMII) と比較して,進んだ心不全患者の入院数を減らし,コストを大幅に削減しました. この経済分析は,HM3

キーワード:
コスト・ベネフィット分析経済学心不全心臓補助器

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科学分野:

  • 心血管医学
  • 健康 経済
  • 医療機器技術

背景:

  • MOMENTUM 3試験では,離心式ハートメイト3 (HM3) と軸性ハートメイトII (HMII) の連続流動左心室補助システムを比較した.
  • HM3は,2年後に無効性脳卒中または再手術のない生存の主要なエンドポイントで優位性を示しました.

研究 の 目的:

  • HM3とHMIIの医療資源利用と経済的影響を評価する.
  • 進行性心不全の患者の2つの器具のコストの違いを評価する.

主な方法:

  • 退院後の入院と関連費用の分析
  • 試験データと請求書データベースを用いて,機器に課せられる費用と,機器に課せられない費用の計算
  • 階層化されたコスト削減分析

主要な成果:

  • HM3グループは,HMIIと比較して,入院数 (患者年当たり2.1対2. 7),入院日数 (患者年当たり17. 1対25. 5) が少ない.
  • HM3ではポンプ血栓症 (0. 6% 対 12. 5%) と脳卒中 (2. 8% 対 11. 3%) の有意な減少が観察されました.
  • 退院後の費用は,HM3 (37,685ドル) とHMII (76,599ドル) の患者年比で51%低かった.
病院 入院

結論:

  • HM3左心室補助システムは,HMIIと比較して再入院を減少させ,出院後のコストを大幅に削減しました.
  • これらの経済的利益は,意図された治療目標 (移植へのブリッジまたは目的の治療) にかかわらず一貫していました.