概括
医疗培训水平没有影响急性疾病的总治疗费用. 然而,教师和医生助理的实验室和药物费用较高,特别是对表现不佳的患者.
科学领域:
- 卫生经济学 卫生经济学
- 门诊护理服务提供服务.
- 医学教育 医学教育
背景情况:
- 评估医疗保健成本对于资源分配至关重要.
- 了解不同类型的提供者之间的成本变化对于高效的医疗保健提供至关重要.
- 提供者培训水平对门诊治疗费用的影响需要进一步调查.
研究的目的:
- 研究医疗培训水平与直接医疗成本之间的关系.
- 为了比较与由教师,住院医生和医生助理治疗的急性疾病发作相关的成本.
- 确定成本驱动因素及其与患者结果的相关性.
主要方法:
- 在门诊护理诊所对1700次急性疾病发作的回顾性分析.
- 提供者分为教师,家庭实践居民 (按年) 和医生助理.
- 检查总成本和组件成本 (实验室,药物等). ) 的情况.
- "良好的结果"的定义是恢复正常运作.
主要成果:
- 根据提供者类型,每集平均总成本没有显著差异.
- 实验室和药物成本在提供者类型之间存在显著差异 (P < .05).
- 教师和医生助理承担更高的成本,特别是对于那些结果不佳的患者.
- 在第一年,第二年和第三年居民中,成本或良好结果率没有显著差异.
结论:
- 提供者类型影响特定的成本组件 (实验室,药物),而不是门诊急性护理的整体直接成本.
- 与教师和医生助理相关的更高成本可能与患者的治疗结果有关.
- 医疗培训水平,在住院年内,没有明显影响成本效益或患者的结果在这个队列.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:26Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
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01:30Primary Healthcare Services
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01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:28Hospitals-I
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01:30Specialized Care Centers and Settings-II
Rural Health Centers
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