虚拟儿科急诊室试点计划成本分析和经济评估
George Zhuo Qian Cao1, Emmanuel Fulgence Drabo2, Sandy Tse1,3
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
CJEM
|July 26, 2023
概括
加拿大第一个虚拟儿科急诊室 (ED) 节省了89万加元,证明了每位患者的显著成本节省. 这种创新的虚拟护理模式为儿科急诊服务提供了具有经济价值的替代方案.
科学领域:
- 卫生经济学 卫生经济学
- 儿科急诊医学 儿科急诊医学
- 数字健康数字健康
背景情况:
- 由于COVID-19的流行,需要创新的医疗保健服务模式.
- 在疫情期间,可访问的儿科紧急护理是一个挑战.
研究的目的:
- 分析加拿大第一个虚拟儿科急诊室 (ED) 的成本.
- 将虚拟ED成本与实体ED成本进行比较,以获取资源配置见解.
主要方法:
- 在2021年加拿大美元中进行了健康系统视角成本分析.
- 一个决策树模型比较了带有和没有虚拟ED的预期成本.
- 计算了虚拟ED实施的总和每个患者的成本节约.
主要成果:
- 虚拟急救服务了7394名患者,从而节省了89万美元的基本病例 (每名患者120美元).
- 敏感性分析表明,成本节省最受患者转移率和开销成本的影响.
- 多变量分析证实了强大的成本节约,从9.20万美元到1.04亿美元.
结论:
- 虚拟儿科ED有效降低了每个患者的成本.
- 虚拟护理为儿科急诊室提供了一个经济可行的服务.
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