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印度尼西亚慢性病患者的成本分析
Endang Sunariyanti1,2, Tri Murti Andayani3, Dwi Endarti4
1Doctoral Program in Pharmaceutical Science, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
ClinicoEconomics and outcomes research : CEOR
|August 3, 2023
概括
治疗慢性病 (CKD) 的成本很高,血液透析是最昂贵的组成部分. 在不同的医院类别中,治疗费用有很大差异,A类医院的费用比B类和私人医院的费用高.
科学领域:
- 卫生经济学 卫生经济学
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健管理的管理
背景情况:
- 慢性病 (CKD) 治疗带来了巨大的财务负担,占医疗保健开支的很大一部分.
- 医疗健康保险 (CKD) 融资是国家医疗保险系统 (BPJS) 中第二高的支出,这凸显了需要进行成本分析和提高效率的需要.
研究的目的:
- 进行慢性病治疗的综合性成本分析.
- 识别和检查CKD患者护理所涉及的各种成本组成部分.
- 确定不同医院类别和地区的治疗成本是否存在显著差异.
主要方法:
- 从医院的角度来看,采用了横截面的研究设计.
- 在14个月内 (2019年10月至2020年12月) 从两个不同地区的6家医院 (A类,B类和私人) 的582名患者收集数据.
- 分析的成本组件包括血液透析,手术,服务,放射学,实验室测试,输血,药物,医疗设备,住院和用品.
主要成果:
- 与B类和私人医院相比,A类医院的CKD治疗总成本更高.
- 血液透析成为最高的成本组成部分,其次是主要程序和服务.
- 统计分析显示,在区域1和区域3的医院之间,CKD治疗成本存在显著差异 (p <0.05).
结论:
- 在不同医院类别和地理区域之间,慢性病治疗成本存在显著差异.
- 血液透析,主要手术和服务是CKD患者管理中最重要的财务支出.
- 这些发现强调了需要成本效益策略来管理慢性病护理的财务方面.
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