血液透析与腹腔透析药物开支:私人保险市场中的比较
Anshul Bhatnagar1, Jingbo Niu1, Vivian Ho2
1Section of Nephrology, Baylor College of Medicine, Houston, TX.
Kidney medicine
|July 17, 2023
概括
与腹腔透析 (PD) 患者相比,接受血液透析的私人保险患者每年注射药物成本高出2倍. 增加PD使用可能会降低私人保险公司的药物支出.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 卫生经济学 卫生经济学
背景情况:
- 倡议促进腹膜透析 (PD) 患者的满意度和自主性.
- 关于私人保险公司的透析模式成本的数据有限.
研究的目的:
- 在PD和血液透析患者之间比较注射透析药物的保险公司成本.
- 分析药品支出和其他服务的成本差异.
主要方法:
- 私人保险患者开始PD或中心内血液透析的回顾性队列研究 (2017-2020).
- 倾向性得分匹配用于比较PD和血液透析队列.
- 一般化的线性模型估计了各种支出类别的成本比率.
主要成果:
- 血液透析患者的年度注射药物成本 (CR: 1.99) 比PD患者高出2倍.
- 血液透析患者的非药物门诊服务成本较高 (CR: 1.44).
- 血液透析患者的非药物透析相关支出较低 (CR:0.85).
结论:
- 在私人保险患者中,血液透析与注射药物成本相比,与PD相比显著更高.
- 转向PD可能会减少私人保险公司的注射透析药物支出.
- 需要对更大的样本进行进一步的研究,以确认其他类别的成本差异.
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