まとめ
医療訓練のレベルは,急性疾患の治療費総額に影響を与えなかった. しかし,教員と医師助手には,特に結果が悪い患者には,より高い実験室と薬の費用がかかります.
科学分野:
- 健康経済学とは
- アムブレーション・ケアとは
- 医療教育 医療教育について
背景:
- 医療費の評価は,リソースの配分に極めて重要です.
- 医療従事者の異なるタイプの費用の変動を理解することは,医療の効率的な提供に不可欠です.
- 提供者の訓練レベルが, ambulatory setting での治療費用に与える影響については,さらなる調査が必要である.
研究 の 目的:
- 医療訓練レベルと直接的な医療費との関係を調査する.
- 教員,レジデント,および医師助手によって治療された急性疾患エピソードに関連するコストを比較するために.
- コストドライバーと,患者の成果との相関を特定する.
主な方法:
- 外来診療の診療所での急性疾患エピソード1700件を遡及的に分析した.
- 医療提供者の分類は,教員,家庭内医療従事者 (年別),および医師助手.
- 総コストと部品コスト (実験室,医薬品など) の検討 ) を実施する.
- "良い結果"の定義は,通常の機能への復帰である.
主要な成果:
- プロバイダーの種類に基づいて,エピソードあたりの平均総コストの有意な差はありません.
- 医療従事者の種類によって,研究室と薬剤費の有意な差異 (P < .05) が認められる.
- 教員と医師助手には,特に結果が悪い患者には,より高い費用がかかりました.
- 1年目,2年目,3年目のレジデントの間で,コストの有意な違いや良い結果率はありません.
結論:
- 提供者の種類は, ambulatory acute care の全体的な直接費用よりも,特定のコストコンポーネント (実験室,薬剤) に影響します.
- 教員と医師助手に関連するより高いコストは,患者のアウトカムに関連している可能性があります.
- レジデンス期間中の医療訓練レベルは,このコホートにおける費用対効果や患者の成果に実証的に影響を与えない.
関連する概念動画
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