Feasibility analysis of changing the decision-making in health management with scarce resources
Feasibility analysis of changing the decision-making in health management with scarce resources
Data
2014
Autores
Baumworcel, Leonardo
Scavarda, Annibal
Guimarães, Tereza Felippe
Colafranceschi, Alexandre Siciliano
Journal Title
Journal ISSN
Volume Title
Publisher
Business and Management Review
Resumo
Heart failure is the final pathway of most diseases that involve the heart, as a challenge in health management. Heart transplantation is a viable strategy for patients in end-stage disease. The donor shortage requires a process to ensure the appropriate selection of the recipient. In Brazil there is a single list of candidates in chronological order of arrival, the existence of a risk score could dynamically allocate these patients. The purpose of this analysis is to assess the feasibility of changing the allocation process of candidates for heart transplantation according to the IMPACT score. This research is prospective observational retrospective analysis of transplanted cohort at the National Institute of Cardiology. The study included 42 patients and IMPACT score of six or more is associated with the highest mortality after transplantation. Allocation of patients according to their IMPACT score can facilitate decision making about which candidate must be transplanted.
Description
Palavras-chave
Decision making, Heart transplantation, Scarce resources, Health management
Citação
Baumworcel l, Scavarda A, Gimarães TF, Colafranceschi, AS. Feasibility analysis of changing the decision-making in health management with scarce resources. Bus Manage Review. 2014;4(3):189-97.