手术和透导管中枢治疗:医疗保险的使用和补偿
Aakash M Shah1, Ahmed A Almomani2, Edward Y Sako1
1Department of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
The Annals of thoracic surgery
|September 23, 2023
概括
过导管 mitra 门疗法激增,而手术程序下降,但整体利用率保持稳定. 对于手术和透气管 mitra 门治疗,补偿金减少.
科学领域:
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 检查米特拉治疗的趋势对于了解患者获取和治疗演变至关重要.
- 外科手术和透气管 mitra 门干预代表了治疗 mitra 门疾病的不同方法.
研究的目的:
- 从2015年到2020年分析手术和透导管米特拉治疗的利用和报销趋势.
- 调查通过导管治疗的采用与手术程序的下降之间的关系.
主要方法:
- 使用的医疗保险和医疗补助服务中心 (B部分) 美国医疗保险受益人的国家总结数据文件 (2015-2020).
- 调整为2020年消费者价格指数的通胀数据.
- 就业增长率和趋势分析的简单线性回归.
主要成果:
- 总的中枢门手术每年保持不变.
- 过导管 mitra 治疗增加了 313% (1552例/年),而手术治疗减少了 31.4% (1446例/年).
- 通过导管 (14.1%) 和外科手术 (3.8%) 的米特拉治疗,医疗保险每病例的赔偿金均下降.
结论:
- 在医疗保险受益者中,米特拉治疗的利用已经稳定下来,通过导管的增长抵消了手术的下降.
- 通过导管治疗的可用性没有明显扩大患者获得治疗的机会.
- 无论是外科手术还是通过导管进行的 mitra 门手术,都经历了每例医疗保险退款的下降.
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