コミュニティケア 放射線腫瘍 医療センターの費用計算
Ronald H Shapiro1, Reid F Thompson2,3, David A Elliott4,5,6
1Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana.
まとめ
退役軍人
科学分野:
- 医療サービス研究
- 腫瘍学
- 健康 経済
背景:
- 退役軍人は従来の退役軍人事務局 (VA) の医療センターの外で専門医療を受けることができます.
- この地域医療の費用は 退役軍人の施設が負担します
- この介護モデルの包括的な財務分析は欠けている.
研究 の 目的:
- リチャード・L・ルーデブッシュ VAMC (RLRVAMC) の放射線腫瘍学コミュニティケア費用を分析する.
- コミュニティケアを通じて提供される 退役軍人の放射線腫瘍学サービスの 財務概要を提供すること.
- 費用分類の課題を特定し,VAの改善方法を提案する.
主な方法:
- コミュニティケアに関する相談,許可,標準的なケアエピソード (SEOC) の分析
- 放射線腫瘍学特異の検査
- 2021年10月1日から2024年2月1日までの財務データのレビュー
主要な成果:
- RLRVAMCは,コミュニティケア放射線腫瘍学サービスに約270万ドルを費やしました.
- 平均的なSEOC費用は5,000ドルで,調整後の総支出は290万ドル近くでした.
- 地域社会での放射線治療の 医療費の平均は20600ドルでした
結論:
- コミュニティ放射線腫瘍学の現在の費用計算方法は不十分です.
- 既存の方法論は 総費用を過小評価し 放射線治療を受ける一部の患者を除外しています
- 地域における放射線治療の平均コストは 大きく過小評価されています
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