灾难性的医疗费用与开放式减少相关 远距离半径骨折的内部固定
Jessica I Billig1, Jody M Law1, Madison Brody1
1Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO.
The Journal of hand surgery
|July 22, 2023
概括
距离半径骨折带来了重大的财务风险,超过30%的患者面临灾难性的医疗支出 (CHEs). 年轻,没有保险和非白人患者的风险更高,这凸显了金融保护政策的必要性.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远半径骨折是常见的上肢损伤,导致工作缺席和财务压力.
- 了解灾难性医疗支出 (CHEs) 的风险对于患者的财务福祉至关重要.
研究的目的:
- 为了确定开放式减小和内部固定 (ORIF) 后对远半径骨折的CHES风险.
- 分析患者特征如何影响患CHEs的可能性.
主要方法:
- 对394名因远端半径骨折接受ORIF治疗的患者 (2018-2020年) 的回顾性分析.
- 定义:CHE是指自费支出,超过自费收入的40%.
- 多变量逻辑回归用于评估年龄,种族和保险状况对CHE风险的影响.
主要成果:
- 超过30% (121/394) 的患者有CHE的风险.
- 26-34岁的患者比65岁以上的患者面临CHE的可能性高5.7倍.
- 与那些有雇主赞助的保险患者相比,没有保险的患者患CHE的风险增加了6倍.
- 与白人患者相比,非白人患者的CHE风险高3.6倍.
结论:
- 远半径骨折可能会带来巨大的财务负担,三分之一的患者有CHEs的风险.
- 需要有针对性的政策来减少创伤伤害的成本共享,以减轻财务损害和医疗保健差异.
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