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근거중심한의약 DB

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Title

Cost savings in inpatient oncology through an integrative medicine approach.

Authors

Kligler B, Homel P, Harrison LB, Levenson HD, Kenney JB, Merrell W.

Journal

Am J Manag Care.

Year

2011

Vol (Issue)

17(12)

Page

779-784.

doi

PMID

22216749

Url

http://www.ncbi.nlm.nih.gov/pubmed/22216749

MeSH

Anxiety/prevention & control
Anxiety/psychology
Aromatherapy
Cost Savings/statistics & numerical data*
Depression/prevention & control
Depression/psychology
Female
Health Care Costs
Holistic Nursing
Humans
Inpatients/statistics & numerical data*
Integrative Medicine/economics*
Integrative Medicine/statistics & numerical data
Length of Stay
Male
Medical Oncology/economics*
Medical Oncology/statistics & numerical data
Neoplasms/economics*
Neoplasms/nursing
Neoplasms/therapy
Pain/prevention & control
Pain/psychology
Philosophy, Medical*
Pilot Projects
Quality of Life/psychology
Statistics as Topic
United States
Yoga

Keywords

한글 키워드

KMCRIC summary and commentary

없음

Korean Study

Abstract

OBJECTIVES:
To evaluate the cost impact of an integrative medicine intervention on an inpatient oncology service.

STUDY DESIGN:
This study used nonrandomized, nonequivalent groups. A baseline sample of inpatient oncology patients at Beth Israel Medical Center admitted to the medical oncology unit before implementation of the Urban Zen Initiative were compared with patients admitted after the Urban Zen Initiative was in place.

METHODS:
The Urban Zen Initiative incorporated yoga therapy, holistic nursing techniques, and a ""healing environment"" into routine inpatient oncology care. Length of stay and medication use data were extracted from Beth Israel's decision support electronic database. We compared length of stay, total medication costs, and costs of as-needed medications for both groups: the baseline sample of inpatient oncology patients and patients exposed to the Urban Zen healing environment initiative.

RESULTS:
We had complete cost data on 85 patients in our baseline group and 72 in our intervention group. We found no difference in length of stay between the 2 groups. We found a significant decrease in use of antiemetic, anxiolytic, and hypnotic medication costs as well as a decrease in total medication costs in the Urban Zen sample compared with the baseline group.

CONCLUSIONS:
An integrative medicine approach including yoga therapy, holistic nursing, and a healing environment in the inpatient setting can decrease use of medications, resulting in substantial cost savings for hospitals in the care of oncology patients.

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