与不必要的囊脏囊监测相关的多余的医院开支
Michael Wang1,2, Mitchell Ng1,2, Laura Bukavina2
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
Urology practice
|June 15, 2023
概括
不必要的囊成像显著增加医疗保健成本. 严格遵循囊监测指南,可以降低开支并改善患者的治疗结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 脏囊监测需要付出相当大的成本.
- 未指定的成像技术有助于增加过剩的支出.
- 了解监控模式对于成本管理至关重要.
研究的目的:
- 为了衡量与囊监测相关的成本支出.
- 检查机构监控模式.
- 为了确定未指定的成像的多余成本.
主要方法:
- 对被诊断患有囊的患者的临床和成像数据进行了审查 (2017年1月至2018年6月).
- 根据既定的指导方针进行定义的未指示囊的随访.
- 使用FAIRHealth Consumer®数据计算了不必要的支出.
主要成果:
- 在Bosniak I和II囊的292名分析患者中,52%接受了未经说明的成像检查.
- 不必要的成像总计为347,501美元的外推成本.
- 博斯尼亚克II囊显示出更高的未指定的成像率; 非洲裔美国患者的监视减少.
结论:
- 对于博斯尼亚克I和II囊的不必要的监视成像增加了医院费用.
- 遵守脏成像指南可以降低开支.
- 严格遵守将不必要的成本,患者的焦虑和潜在的伤害降到最低.
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