评估压成本的前性观察研究中的挑战:如何正确定价项目
Andrea Pokorná1,2, Lenka Krupová3, Klára Benešová2
1Department of Health Sciences, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Journal of wound care
|September 8, 2023
概括
捷克共和国住院治疗压力患者的平均费用为1579.9欧元. 抗生素治疗和护理人员的时间是主要的成本驱动因素,强调需要准确的成本监测方法.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 临床管理 临床管理
- 患者护理 患者护理
背景情况:
- 压力 (PUs) 构成了严重的医疗负担,影响了患者的生活质量,并产生了巨大的成本.
- 有效的PU管理对于在医院环境中减轻这些负面影响至关重要.
研究的目的:
- 分析在捷克共和国住院患者的压力治疗相关的成本.
- 在临床实践中试验用于准确的PU成本分析的详细方法.
主要方法:
- 在一所大学医院进行了一项前性,观察性,非干预性研究.
- 通过医院信息系统收集数据,使用自下而上的,基于个人成本分析方法.
- 患者特定的消费记录被用于全面的成本结构.
主要成果:
- 治疗PU每次住院的平均成本为1579欧元,每日费用为179欧元 (包括抗生素) 或112欧元 (不包括抗生素).
- 抗生素治疗 (38.6%) 和护理人员的时间 (35.9%) 是最大的成本组成部分.
- 开发了一个预测模型,以估计住院患者的PU治疗成本.
结论:
- 该研究发现了PU成本分析方法的挑战,例如定价局部药物和将抗生素治疗与PU相关联.
- 开发的方法为在住院患者中更准确地监测PU成本提供了有价值的投入.
- 这一分析适用于住院医疗保健提供者,以改善临床实践和资源配置.
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