在教学医院的普遍预防措施的直接成本
1Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.
JAMA
|October 24, 1990
概括
实施通用预防措施显著增加了医疗保健成本,每次入院的隔离材料增加了60%. 这种由手套和长袍推动的激增,突显了感染控制指南的重大财务影响.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 感染控制 感染控制
- 公共卫生政策 公共卫生政策
背景情况:
- 疾病控制中心实施了通用预防措施,以减少与医疗保健相关的感染.
- 广泛采用这些指导方针的财务影响需要进行彻底的分析.
研究的目的:
- 估计实施普遍预防措施的国家成本.
- 在指南实施之前和之后,分析屏障隔离材料支出变化.
主要方法:
- 一家拥有900张床位的大学医院对医院采购和供应记录进行了为期5年的审查.
- 在实行通用预防措施之前和之后,分析了屏障隔离材料的支出.
- 数据经过通货膨胀调整,以提供国家成本估计.
主要成果:
- 大学医院的隔离材料的年度成本增加了350,900美元.
- 每次入院费用增加了60% (13.70美元至22.89美元),每1000次门诊诊所的费用增加了92% (98美元至215美元).
- 手套占成本增加的64%,其次是一次性隔离 (25%).
结论:
- 据估计,在1989财年,普遍预防措施在全国范围内至少花费了3.36亿美元.
- 以前的成本估计可能低估了普遍预防措施的财务影响.
- 该研究强调了与医疗保健机构的感染控制措施相关的重大经济负担.
相关概念视频
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