费用比较以及与比利时重症监护病房住院成本相关的因素
Arnaud Bruyneel1, Lionel Larcin2, Dimitri Martins3
1Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium. arnaud.bruyneel@ulb.be.
比利时的重症监护室 (ICU) 费用很高,主要是由于机械通风和住院时间等患者因素. 护理人员占直接ICU支出的主要部分.
科学领域:
- 卫生经济学 卫生经济学
- 关键护理医学 关键护理医学
- 医院管理 医院管理
背景情况:
- 在全球范围内,重症监护室 (ICU) 的成本各不相同,因此需要在国家一级进行分析,以便有效地分配资源和提供治疗指导.
- 了解ICU支出对于优化医疗保健组织和比利时的临床决策至关重要.
研究的目的:
- 评估比利时医院重症监护室 (ICU) 的整体成本.
- 确定影响每次住院ICU费用的关键因素.
主要方法:
- 一项回顾性队列研究分析了2018年来自比利时17家医院的数据,其中包括18,235名成年ICU住院.
- 成本数据来源于医院成本会计,医疗记录和住院时间,反映了医院的观点.
- 使用多变量线性回归来确定与每次住院ICU总成本相关的因素.
主要成果:
- 每次ICU住院的中位成本为4,267欧元,其中重要的成本驱动因素包括查尔森评分,机械通风,ECMO和住院时间.
- 护理人员占直接ICU成本的57.2%.
- 在学术医院住院和特定诊断 (昏迷,中毒) 与更高的成本有关.
结论:
- 尽管医院病床占总病床数量的比例很小,但ICU代表了相当大的财务负担.
- 护理人员成本是直接ICU支出的主要组成部分.
- 每次住院的ICU总成本是高度可变的,受患者确定的敏度和治疗因素的影响.
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