针对医生的干预措施降低了手术费用,并改善了价值驱动的健康结果
Rongbing Xie1, Lauren A Wallace2, Brenessa M Lindeman3
1Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
The Journal of surgical research
|August 19, 2023
概括
针对医生的干预措施有效地降低了甲状腺切除术的手术成本,同时保持或改善了患者的治疗结果. 内分泌外科手术显示,每次干预后的手术节省了更多的成本.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 与其他国家相比,美国的医疗保健成本很高,但没有优异的结果.
- 专注于医生的降低成本策略可能会增强基于价值的医疗保健.
- 全甲状腺切除术是一种常见的外科手术,相关成本很高.
研究的目的:
- 评估医生向干预措施在降低全甲状腺切除术的手术费用的有效性.
- 评估这些干预措施对临床结果的影响.
- 为了比较内分泌手术和耳鼻喉科服务之间的干预效果.
主要方法:
- 2016年6月,在内分泌外科和耳鼻喉科部门实施了针对手术费用的两个不同的面对面干预.
- 分析了干预前期 (2014年12月至2016年6月) 和干预后期 (2016年7月至2018年1月).
- 差异差异分析比较了干预前和后的成本指标 (总,固定,可变成本) 和临床结果 (30天再入院率,停留时间).
主要成果:
- 患者人口统计数据在干预前和干预后的组之间是一致的.
- 干预后,医疗保健费用和临床结果均有所改善或保持稳定.
- 与耳鼻喉科相比,内分泌外科手术实现了每次手术的显著更大的干预后节省,平均总成本降低607.84美元 (P < 0.0001).
结论:
- 针对医生的干预措施是降低手术成本和改善患者健康结果的可行策略.
- 这些干预措施的影响可能因外科专业而异.
- 建议对这些干预措施进行标准化,以便在未来评估它们对医院费用和患者护理的更广泛影响.
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