ons and patient satisfaction. Primary outcomes were measured using quality-of-care guidelines from the IOM. These qualities were measured by reviewing surgical complications (safety); patient compliance and value of donated services (efficiency); time between referral to Operation Access, first appointment and intervention (timeliness); patient surveys and case managers abilities to serve as effective patient advocates (patient-centered) and demographics (equity). The researchers assessed the effectiveness of the program on multiple factors, including clinicians' ability to provide direct referrals to Operation Access, specialist evaluations and appropriate interventions provided to patients, and patient surveys.
The average patient age was 44 years old, and 43 percent were male. Non-elderly adults of working age represented 92.7 percent of patients, and 63.3 percent were of Latino race/ethnicity. In 2008, 70 percent of patient appointments involved an interpreter, and 95.9 percent of the time the Operation Access case manager spoke the patient's primary language.
There were 4,201 medical interventions, but 26.3 percent (n=1,103) did not result in procedures. Of the non-operating room procedures (n=1,218), 64.8 percent (n=790) were minor and 25.4 percent (n=309) were gastroenterology related. Of the operating room procedures conducted (n=1,880), the majority were general operations (n=1,204), with hernia repair (n=646) being the most common general operation performed. In 2008, the value of service was approximately $7.56 for every dollar of philanthropic support.
Of the 1,880 surgical procedures evaluated during the 15-year study, only 12 patients required hospitalization. The average length-of-stay for all patients admitted for a complication was 2.5 days (range: one to five days). Among the 345 patients scheduled for operative procedures in 2008, 94.8 percent were compliant, 3.8 percent failed to appear on the date of the procedure, 0Page: 1 2 3 Related medicine news :1
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