Keywords
Diagnosis-related group (DRG) system
Healthcare quality and efficiency
Interprofessional collaboration
Submitted : 2023-12-24
Accepted : 2024-01-08
Published : 2024-01-23
Abstract
Objective: This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components. Methods: The association between team structure, workflow, and treatment outcomes was analyzed using a mixed-methods approach combining quantitative data and qualitative interviews from 628 patients. Results:Inter-professional teamwork significantly affected length of stay, treatment costs, and recurrence rates, with experienced teams performing better in terms of emergency response and collaborative efficiency. Patient satisfaction was generally high, indicating that good teamwork enhances treatment outcomes. Significance: The study highlights the importance of optimizing team configuration to improve the quality, efficiency, and cost control of healthcare.
References
Nelson H, 2021, Reducing Cost of Care Through Deimplementation of Surgical Overtreatment. Annals of Surgery Open, 2(3): e089. https://dx.doi.org/10.1097/as9.0000000000000089
Cahan EM, Cousins HC, Steere JT, et al., 2021, Influence of Team Composition on Turnover and Efficiency of Total Hip and Knee Arthroplasty. The Bone & Joint Journal, 103-B(2): 347–352.
Manca DP, Fernandes C, Lofters A, et al., 2023, Results from the BETTER WISE Trial: A Pragmatic Cluster Two Arm Parallel Randomized Controlled Trial for Primary Prevention and Screening in Primary Care During the COVID-19 Pandemic. BMC Primary Care, 24: 200.
Zou S, Ren P, Zhang L, et al., 2019, Activation of Bone Marrow–Derived Cells and Resident Aortic Cells During Aortic Injury. Journal of Surgical Research, 245: 1–12. https://www.doi.org/10.1016/j.jss.2019.07.013
Strauss J, Waisbrot A, D’amour D, et al., 2020, Abstract TP300: Implementation of Stroke Pathways to Reduce Length of Stay, Cost, Readmissions, and Mortality. Stroke, 51: 1. https://www.doi.org/10.1161/STR.51.SUPPL_1.TP300