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Titolo:
Hospital length of stay in the United States and Japan: A case study of myocardial infarction patients
Autore:
Muramatsu, N; Liang, J;
Indirizzi:
Univ Illinois, Sch Publ Hlth, Chicago, IL 60612 USA Univ Illinois ChicagoIL USA 60612 , Sch Publ Hlth, Chicago, IL 60612 USA
Titolo Testata:
INTERNATIONAL JOURNAL OF HEALTH SERVICES
fascicolo: 1, volume: 29, anno: 1999,
pagine: 189 - 209
SICI:
0020-7314(1999)29:1<189:HLOSIT>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMMEDIATE ANGIOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Muramatsu, N Univ Illinois, Sch Publ Hlth, 2035 W Taylor St, Chicago, IL 60612 USA Univ Illinois 2035 W Taylor St Chicago IL USA 60612 60612 USA
Citazione:
N. Muramatsu e J. Liang, "Hospital length of stay in the United States and Japan: A case study of myocardial infarction patients", INT J HE SE, 29(1), 1999, pp. 189-209

Abstract

Patients in Japan stay in the hospital significantly longer than those in the United States. This study investigates factors that may account for thedifference from a sociocultural perspective. In an intensive case study onpatients with uncomplicated acute myocardial infarction at a university hospital in Japan and its U.S. counterpart, the authors collected data from interviews with patients, their families, physicians, and other medical professionals and from medical, nursing, and billing records. Patients with comparable medical conditions were studied; U.S. patients stayed in the hospital for 8.8 days on average, Japanese patients for 25.0 days. The average total charge of hospitalization was 2.3 times higher in the United States than in Japan. Although length of stay is determined mainly by physicians' clinical judgment and by health care system factors, patients and their familymembers often actively participate in decision-making about discharge dates. This case study approach revealed how different health care systems manifest themselves in the individual patient's course of illness, which cannotbe examined by macro-level comparison of nations' health care systems.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/04/20 alle ore 01:23:54