学習病院における普遍的な予防措置の直接的なコスト
1Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.
JAMA
|October 24, 1990
まとめ
普遍的な予防措置の実施により,医療費が大幅に増加し,入院ごとにバリア隔離材料が60%増加しました. グローブとロブによって引き起こされたこの急増は,感染制御ガイドラインの実質的な財政的影響を強調しています.
科学分野:
- 医療経済学 医療経済学
- 感染症対策対策の対策です.
- 公共衛生政策 公共衛生政策
背景:
- 医療関連感染症を減らすために,疾病管理センターによって普遍的な予防措置が実施されました.
- これらのガイドラインの広範な採用による財政的影響は,徹底した分析を必要とした.
研究 の 目的:
- 普遍的な予防措置を実施する国のコストを推定する.
- ガイドラインの実施前と後に,バリア隔離材料の支出の変化を分析する.
主な方法:
- 900ベッドの大学病院で,病院の購入と供給記録の5年間のレビューが行われました.
- 障壁隔離材料の支出は,普遍的な予防措置の導入前と後に分析されました.
- データはインフレに調整され,全国的なコストの見積もりを提供しました.
主要な成果:
- 大学病院の隔離材料の年間費用は350,900ドル増加した.
- 入院費用は60% (13.70ドルから22.89ドル) 増加し,外来診療1000回の費用は92% (98ドルから215ドル) 増加しました.
- ゴム・グローブがコスト増加の64%を占め,次いで使い捨て隔離ガウンが25%を占めた.
結論:
- 普遍的な予防措置は,1989会計年度に全国で少なくとも3億3,600万ドルの費用がかかると推定されています.
- 以前のコスト推定では,普遍的な予防措置の財政的影響を過小評価していた可能性がある.
- この研究は,医療機関における感染制御対策に伴う重大な経済的負担を強調しています.
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