2003, Number 1
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Rev Acta Médica 2003; 11 (1)
Costs and nutritional and feeding support
Barreto PJ, Santana PS, Martínez GC, Espinosa BA, Reyes MA
Language: Spanish
References: 29
Page:
PDF size: 64.16 Kb.
ABSTRACT
The present paper is aimed to show the importance of an economically-oriented rationale in the provision of nutritional support. Energy Nutrient Malnutrition (ENM) has an increased frequency in our hospitals. Econometric concepts are discussed that might be of interest to the members of the health care groups. There are scientific as well as economical reasons for feeding and nutritional intervention programs to be included within the Good Medical Practices as procedures, clinical pathways, proccesses, standards of practice, and any form of continuing education in order to ensure an effective health care. The efficiency of nutritional quality programs can only be judged from their economical impact on the hospitalary system. Health proffessionals have the resposability of documenting the savings in costs and the profits in health benefits that might result from such programs.
REFERENCES
Gallagher ACH, McCamish MA, Coble Voss A. Desnutrición: un costo oculto en los servicios de salud (Editores: Sproat KV, Russell CM). Ross Products Division. Abbott Laboratories. Chicago, 1996.
Bristian BR, Blackburn GL, Vitale J, et al. Prevalence of malnutrition in general medical patients. JAMA 1976; 235:1567.
Hill GL, Blacket RL, Pickford I y cols. Malnutrition in surgical patient. An unrecognized problem. Lancet 1977;1:689-92.
Barreto Penié J. Desnutrición hospitalaria: ¿Causa oculta de fracaso terapéutico y encarecimiento de los servicios de salud?. Rev Cub Alim Nutr 2001;15(1):78-9.
Butterworth CE. Malnutrition in the hospital (Editorial). JAMA 1974;230:858.
Lykins TC. Nutrition support clinical pathways. Nutr Clin Pract 1996; 11:16-20.
De Biasse MA, Wilmore DW. What is optimal nutritional support?. New Horiz 1994;2:122-30.
Martin AL. The nutrition support team: surviving and thriving in an era of reform. Nutr Clin Pract 1994; 9:221-5.
Barreto Penié J, Santana Porbén S, Salas Ibarra AM. Grupo de Apoyo Nutricional Hospitalario: diseño, composición y programa de actividades. Rev Cub Alim Nutr 2000;14:55 – 64.
McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994;308:945-8.
Minard G, Kudsk KA. Is early feeding beneficial?. How early is early?. New Horiz. 1994;2:156-63.
Martín Peña G. Comentario al Artículo: Studley Hiran O. Percentage of Weight loss. A basic indicator of surgical risk in patients with chronic pectic ulcer. Nutr Hosp 2001;16:140-3.
Fisher GG, Opper FH. An inter-disciplinary nutrition support team improves quality of care in a teaching hospital. J Am Diet Assocc 1996;96:176-8.
Wateska LP, Satter LL, Steiger E. Cost experiences with a home parenteral nutrition program. JAMA 1980;244:2303-4.
Bouza Suárez A. Reflexiones acerca del uso de los conceptos de eficiencia, eficacia y efectividad en el sector de la Salud. Rev Cubana Salud Pública 2000;26:50-6.
Culebras JM. Coste-efectividad del soporte nutricional. Nutr Hosp 1991; 6:83-4.
Hassell JT, Games AD, Shaffer B, Harkins LE. Nutrition support team management of enterally fed patients in a community hospital is cost-beneficial. J Am Diet Assoc 1994; 94:933- 8.
Twomey PL, Patching JC. Cost-effectiveness of Nutritional Support. 1985;9:3-10.
Detsky AS, Jeejeebhoy KN. Cost-effectiveness of nutritional support in patients undergoing major Gastro-intestinal Surgery. JPEN 1984;8:832-37.
WHO. WHOQOL: Study protocol: Division of mental health. Geneva, World Health Organization. 1993.
Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med, 1993;118:622-9.
Foltz MB, Schiller MR, Ryan AS. Nutrition screening and assessment: current practices and dietitians leadership roles. J Am Diet Assoc. 1993;93:1388-95.
Wesley JR. Nutrition support team: past, present, and future. Nutr Clin Pract 1995;10:219-28.
Flemmings CR, George L, Staner G, Tarrosa V. Challenges of a nutrition support team in 1995. From the Mayo Clinic Jacksonville and St. Luke's Hospital, Jacksonville, FL. Nutr Clin Pract 1995;10:151-6.
Mullen JL, Buzby GP, Matthews DC, Smale BR, Rosato EF. Reduction of Operative Mortality and Morbidity by combined Preoperative and Posoperative Nutritional Support. Ann Surg 1979;192:604-13.
Starker PM, La Sala PA, Azkanazi J, Tood G. Hensle TW, Kinney JM. The influence of Preoperative Total Parenteral Nutrition upon Morbidity and Mortality. Surg Gynecol Obstetr 1988;162:569-74.
Shaw Stiffel TA, Zarny LA, Pleban WE, Rosman DD, Rudolph RA, Bernstein LH. Effect of nutrition status and other factors on length of hospital stay after major gastro-intestinal surgery. Nutrition 1993;92: 140- 5.
Gianino MS, Brunt LM, Eisenberg PG. The impact of a nutritional support team on the cost and management of multilumen central venous catheters. J Intraven Nurs 1992;15:327-32.
Seltzer M, Van Way CW. Nutritional Support Teams: strategies for success. Nutr Support Serv 1988;8: 24-5.