手术并发症发生与医院财务状况之间的关系
Sunil Eappen1, Bennett H Lane, Barry Rosenberg
1Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
JAMA
|April 18, 2013
概括
手术并发症增加了私人保险和医疗保险患者的医院收入,但降低了医疗补助和自付患者的收入. 医院在减少手术并发症时可能面临财务风险,这取决于其付款人组合.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 手术结果研究研究.
- 医院财务管理 医院财务管理
背景情况:
- 手术并发症对医院的财务影响仍然不完全理解.
- 了解这些财务影响对于资源分配和质量改进举措至关重要.
研究的目的:
- 调查大手术并发症与每次遭遇医院费用和收入之间的关联.
- 分析不同类型的付款人之间的这些财务关系.
主要方法:
- 来自12家医院系统的2010年手术出院的行政数据进行了回顾性分析.
- 国际疾病分类,第九次修订 (ICD-9) 代码被用于识别术后并发症.
- 医院的费用和收入根据支付人类型分析了九种常见的手术程序和十种主要并发症.
主要成果:
- 对于那些拥有私人保险和医疗保险的人来说,手术并发症与每名患者的贡献幅度显著更高有关.
- 相反,并发症导致医疗补助计划覆盖的患者和自付患者的贡献率较低.
- 总体而言,并发症导致患者贡献率增加,但医院系统的总患者贡献率下降.
结论:
- 手术后并发症的财务影响因付款人而异.
- 如果医院减少手术并发症,医院可能会面临不利的财务后果,这取决于其特定的付款人组合.
- 这些发现强调了临床结果和医院财务之间的复杂相互作用.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Types of Reports II: Incident or Occurrence Report
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

