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在瘤护理模型中,血液恶性病发作超过了目标价格
Jennifer Nguyen1, Vittorio Maio1,2, Karen Walsh1
1Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA.
概括
在瘤护理模型 (OCM) 中,大多数血液恶性瘤发作都超过了他们的目标价格. 诸如B/D部分药物使用和新疗法等因素导致了显著的治疗总成本 (TCOC) 错位.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
背景情况:
- 瘤护理模型 (OCM) 旨在提高癌症护理质量并降低成本.
- 了解成本驱动因素和目标价格调整对于OCM成功至关重要,特别是在血液恶性瘤中.
研究的目的:
- 评估OCM血液恶性瘤病例中总护理成本 (TCOC) 和目标价格之间的对齐.
- 为了确定与超出目标价格的事件相关的因素.
主要方法:
- 从OCM表现期的血液性恶性瘤事件的分析 1-4在一个大型学术医疗中心的和解报告.
- 统计分析以确定与超过目标价格相关的情节特征.
主要成果:
- 在516个分析的血液性恶性瘤发作中,超过一半 (54.8%) 超过了目标价格.
- 与超过目标价格相关的关键因素包括医疗保险B部分和D部分药物使用,新疗法使用,家庭卫生机构参与,以及自上次化疗以来的更长时间 (>730天).
- 超过目标价的事件的平均TCOC明显高 (85,374美元) 比平均目标价 (56,106美元) 高.
结论:
- 在OCM中,TCOC和血液恶性瘤发作的目标价格之间存在重大错位.
- 这种 misalignment 暗示了 OCM 目标价格调整对于这些复杂的患者群体的潜在不足.
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