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http://ir.cmu.edu.tw/ir/handle/310903500/28747
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| 題名: | Activation of activator protein-1 in cells exposed to electrical stimulation of various parameters used in electroacupuncture therapy |
| 作者: | Hsu, SF;Lin, JG;Liu, HJ;Lai, IL;Wu, SL;Hsiang, CY;Ho, TY |
| 貢獻者: | 中醫學院中醫所;China Med Univ, Inst Chinese Med Sci, Taichung 404, Taiwan;China Med Univ, Acupuncture Res Ctr, Taichung 404, Taiwan;China Med Univ, Dept Microbiol, Taichung 404, Taiwan;China Med Univ, Dept Biochem, Taichung 404, Taiwan;China Med Univ, China Med Univ Hosp, Sch Chinese Med, Acupuncture Dept, Taichung, Taiwan |
| 日期: | 2003 |
| 上傳時間: | 2010-09-24 13:44:50 (UTC+8) |
| 出版者: | WORLD SCIENTIFIC PUBL CO PTE LTD |
| 摘要: | Study Objective. To evaluate whether or not a physician's experience has an effect on costs and clinical outcomes of an implemented clinical pathway for laparoscopic-assisted vaginal hysterectomy (LAVH). Design. Retrospective study (Canadian Task Force classification II-2). Setting. University hospital. Patients. One hundred twenty women. Intervention. LAVHs, 84 performed by senior physicians and 36 by junior physicians. Measurements and Main Results. According to results of multiple linear regression analysis, after controlling for other independent variables, senior attending physicians, each with over 6 years of experience, managed to reduce all costs related to LAVH, operating time, and length of stay. Logistic regression analysis revealed no differences in the occurrence of intravenous fluid injection, antibiotic injection more than 2 days after surgery, and complications between physicians with and those without experience. Neither group had blood transfusions, patient mortality, or readmissions within 2 weeks of discharge. Conclusion. Physician experience reduces medical costs and maintains the quality of care in LAVH. We suggest regular training courses for less-experienced physicians in order to contain costs and maintain quality of care under the quota case-payment system. |
| 關聯: | AMERICAN JOURNAL OF CHINESE MEDICINE 31(6):967-975 |
| 顯示於類別: | [中國醫學研究所] 期刊論文
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