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System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty

Overview of attention for article published in PLOS ONE, April 2012
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Title
System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Published in
PLOS ONE, April 2012
DOI 10.1371/journal.pone.0030578
Pubmed ID
Authors

Mathias Worni, Ricardo Pietrobon, Guilherme Roberto Zammar, Jatin Shah, Bryan Yoo, Mauro Maldonato, Steven Takemoto, Thomas P. Vail

Abstract

The Hospital Acquired Condition Strategy (HACS) denies payment for venous thromboembolism (VTE) after total knee arthroplasty (TKA). The intention is to reduce complications and associated costs, while improving the quality of care by mandating VTE prophylaxis. We applied a system dynamics model to estimate the impact of HACS on VTE rates, and potential unintended consequences such as increased rates of bleeding and infection and decreased access for patients who might benefit from TKA.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 59 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 24%
Student > Ph. D. Student 8 14%
Student > Bachelor 5 8%
Researcher 5 8%
Student > Postgraduate 5 8%
Other 12 20%
Unknown 10 17%
Readers by discipline Count As %
Medicine and Dentistry 22 37%
Nursing and Health Professions 7 12%
Social Sciences 5 8%
Computer Science 3 5%
Agricultural and Biological Sciences 2 3%
Other 10 17%
Unknown 10 17%