A single consultation cerebrovascular disease clinic is cost effective in the management of transient ischaemic attack and minor stroke

作     者：Blight, A Pereira, AC Brown, MM 

作者机构：UCL Inst Neurol Dept Clin Neurol London WC1N 3BG England Univ London St Georges Hosp Sch Med Div Clin Neurosci London SW17 0RE England 

出 版 物：《JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON》 (J. R. Coll. Phys. London)

年 卷 期：2000年第34卷第5期

页      面：452-455页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 08[工学] 0802[工学-机械工程] 100204[医学-神经病学] 10[医学] 

主　　题：门诊医疗设施/经济学 门诊医疗设施/组织和管理 费用效益分析 诊断 鉴别 脑缺血发作 短暂性/诊断 伦敦 转诊和会诊/经济学 回顾性研究 老年人 女(雌)性 人类 男(雄)性 

摘      要：Aim: We examined the cost effectiveness of a single consultation strategy to manage patients referred with TIA or stroke to our cerebrovascular disease (CVD) clinic, where all relevant investigations (blood tests, CT brain scan and carotid Dopplers) were obtained prior to the clinic appointment. Design: Retrospective study of patients referred to the CVD clinic at St George s Hospital, London between October 1995 and 1996. Results: Of 211 new patients seen in the clinic, 73% had CVD;146 (68%) patients had imaging studies prior to clinic attendance. Of these, 132 (90%) were managed with a single consultation, This strategy cost pound5,700 less than if these patients had been followed up. Conclusion: Performing all relevant investigations prior to clinic attendance allowed a fully informed discussion with the patient at a single consultation and was cost effective.