การวิเคราะห์ต้นทุนต่อประสิทธิผลของรูปแบบการวางแผนจำหน่ายผู้ป่วยโรคเบาหวานชนิดไม่พึ่งอินสุลิน
อัจฉรา บุตรรักษ์
รศ.ดร. พวงรัตน์ บุญญานุรักษ์
บทคัดย่อ
This experimental research design was aimed to test nursing outcome management per admission non-insulin dependent diabetes mellitus patients. In tissues consisted of cost per discharge planning activity, effectiveness per discharge planning process such as the perceived of self-abilities of diabetes mellitus patients / shortened length of stay / readmission, cost-effectiveness of discharge planning model. The sample, selected by purposive and randomly assigned as match pairs method, were divided into two groups: The control (n=10) and the experimental group (n=10). The instruments used discharge planning model, cost analysis, effectiveness analysis. The validity index = 1.00. The data were divided into two sections. Cost per discharge planning activity was analyzed by percentage , mean, standard deviation, median and inter-quartile range. Effectiveness per discharge planning was divided into three sections : a) The perceived of self-abilities of diabetes mellitus patients analyzed by dependent t-test; b) Shortened length of stay and readmission analyzed by percentage; and c) Multiple outcome or cost-effectiveness analysis of discharge planning model analyzed by Arford& Allred,1995.Results of this research indicated that the average cost per admission for non-insulin dependent diabetes mellitus patient for the control group was 12,669.07 baht, the quality index was 0.8207, and the cost per outcome at the average score of quality index was 1.00 = 15,436.91 baht. While the average cost per admission for non-insulin dependent diabetes patients was 10,259.45 baht; the quality index was 1.0974, and the cost per outcome at average score of the quality index was 1.00= 9,348.87 baht.The major findings were as follow: the mean scores on perceived of self abilities both of control and experimental groups non-insulin dependent diabetes mellitus patients were rated at highest levels respectively, The mean score of the experimental groups was significantly higher than that of the control group (p<.05).  
ที่มา
M.N.S. (Nursing Administration) มหาวิทยาลัยบูรพา ปี 2544
คำสำคัญ
Diabetes, analysis, MELLITUS, COST-EFFCTIVENESS, DEPENDENT, DISCHARGE, NON-INSULIN, PLANNING