• 作者：Carmen Herrera-Espiñ ; eira^a ; ^{carmen.herrera.sspa@juntadeandalucia.es} ; Marí ; a del Mar Rodrí ; guez del Á ; guila^b ; Jó ; se Luis Navarro Espigares^c ; Amparo Godoy Montijano^d ; Alfonso Garcí ; a Priego^d ; Javier Gó ; mez Rodrí ; guez^a ; Isabel Reyes Sá ; nchez^a
• 关键词：Servicio de atenci&oacute ; n a domicilio provisto por el hospital ; Costes y an&aacute ; lisis de costes ; Cirug&iacute ; a traumatol&oacute ; gica ; Alta del paciente ; Tel&eacute ; fono
• 刊名：Gaceta Sanitaria
• 出版年：2011
• 期刊代码：pca166_02139111
• 类别：med
• 出版时间：March-April 2011
• 卷：25
• 期：2
• 页码：133-138
• 文件大小：105 K

class="h4">Objective

To determine the impact of a 1-month telephone care program after hospital discharge from a trauma surgery unit on health services utilization and patient anxiety and to perform a budgetary analysis.

class="h4">Methods

We carried out an experimental study in 604 patients who formed an experimental and a control group. The experimental group was offered telephone care to resolve doubts during the first month after discharge. After this period, data were collected from both groups on the following outcome variables: visits to the emergency department or family physician, hospital readmissions, and the results of an anxiety test. Data analyses included logistic and linear multivariate analyses and calculation of the budgetary impact of the program on the hospital, the Andalusian Health Service, and the National Health System.

class="h4">Results

A total of 73 telephone consultations were conducted with 60 patients, almost half for doubts about the therapeutic regimen. For the outcome variable 鈥渧isit to emergency department鈥? the group without telephone care had an odds ratio of 1.8 in the multivariate analysis adjusted for the other independent variables: days of hospital stay, patient anxiety and comprehension of discharge indications. No differences between groups were found in the remaining outcome variables. The budgetary analysis demonstrated the possibility of implementing the program at a cost of 1.65 鈧?per patient.

class="h4">Conclusions

This program proved effective in reducing visits to the emergency department at a low cost.