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Estimación del ahorro de costos de atención de emergencia basado en datos de encuesta de llamadas de un centro
Jon B Cole1, Tuyet Lien D Lam2, Laura L Schrag3
1Department of Emergency Medicine, Hennepin Healthcare, Minneapolis, MN, USA; Department of Emergency Medicine, University of Minnesota Medical School, Minneapolis, MN, USA; Minnesota Regional Poison Center, Minneapolis, MN, USA.
The American journal of emergency medicine
|February 11, 2026
Resumen
Los centros de envenenamiento reducen significativamente los costos de atención médica al evitar visitas de emergencia innecesarias. Nuestro estudio estima ahorros anuales de $ 36.5 a $ 58.0 millones para una región de tres estados, lo que demuestra un fuerte retorno de la inversión.
Área de la Ciencia:
- Salud Pública La salud pública.
- Economía de la salud Economía de la salud
- Toxicología Toxicología.
Sus antecedentes:
- Se sabe que los centros de envenenamiento reducen los gastos de atención médica al mitigar la atención de emergencia innecesaria.
- Faltan recientes estimaciones exhaustivas de ahorro de costos para los servicios de PC.
- Este estudio aborda la necesidad de datos actualizados sobre el impacto económico de los PC.
Objetivo del estudio:
- Para estimar el ahorro de costos anual generado por un centro de envenenamiento de tres estados.
- Para determinar la relación costo-beneficio de los servicios de PC en la prevención de visitas al departamento de emergencias (ED).
- Para actualizar la evaluación de impacto económico de las operaciones del centro de envenenamiento.
Principales métodos:
- Análisis retrospectivo de los datos de la encuesta de llamadas de un PC estadounidense de tres estados (2021-2024).
- Estimación de los costos de atención de emergencia utilizando los datos de los Servicios de Medicare y Medicaid para el transporte en ambulancia y los códigos de evaluación y gestión (E&M) de emergencias.
- Cálculo del ahorro de costos basado en las respuestas de las personas que llaman con respecto a acciones alternativas si el PC no estaba disponible, utilizando los códigos de E&M 99284 y 99285.
Principales resultados:
- De 1670 encuestados, el 81% habría buscado atención inmediata si el PC no estuviera disponible.
- Los ahorros de costos anuales extrapolados para la región de los tres estados oscilan entre $34.5 millones y $60.7 millones.
- La relación beneficio-costo osciló entre 12.07:1 y 18.55:1, con ahorros netos de $36.5 a $58.0 millones después de contabilizar el presupuesto del PC.
Conclusiones:
- Los servicios de centros de envenenamiento proporcionan beneficios económicos sustanciales al evitar costosas cuidados de emergencia.
- Los ahorros de costos estimados exceden significativamente el presupuesto operativo del centro de envenenamiento, lo que demuestra un alto valor.
- Los hallazgos apoyan la financiación continua y la utilización de los centros de envenenamiento como un recurso de salud pública rentable.
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