价格上与上升编码相比,随着紧急部门开支增加的驱动力,2012-19
Vivian Ho1, Sasathorn Tapaneeyakul2, Heidi Voelker Russell3
1Vivian Ho (vho@rice.edu), Rice University and Baylor College of Medicine, Houston, Texas.
紧急服务部门 (ED) 的支出增长主要是由价格上所驱动的,而不是患者访问的增加或显著的升级编码. 在大多数被研究的州,价格占支出增长的一半以上.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 紧急医疗 紧急医疗
背景情况:
- 近年来,紧急部门 (ED) 的支出大幅增加.
- 人均ED访问率保持相对稳定,这表明其他因素推动了成本.
研究的目的:
- 为了确定价格上和上调对ED支出增长的相对贡献.
- 分析2012年至2019年期间ED支出变化.
主要方法:
- 蓝十字蓝盾公司对2012年和2019年五个州所有年龄段的索赔数据进行分析.
- 利用支出和编码强度回归模型来分解成本变化.
- 价格,患者特征,治疗强度和升级编码的不同影响.
主要成果:
- 价格上是每次访问ED支出增加的主要驱动因素,在五个被调查的四个州中.
- 升级编码有助于增加支出,但总体而言,它的影响力不如价格上那么大.
- 患者特征或治疗强度的变化对整体支出增长的作用较小.
结论:
- 价格通货膨胀是急救部门成本上升的主要因素.
- 虽然upcoding起到作用,但它的影响是价格上的次要因素.
- 需要进一步研究市场动态,如整合,以了解价格和编码趋势.
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