脉冲氧仪的高股权价格:成本评估和需要临时解决方案的需求
Katelyn Dempsey1, Mary Lindsay2, James E Tcheng3
1Duke University, Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Durham, NC, USA.
替换脉冲氧计硬件以修复精度差异是昂贵的,全国估计耗资141亿美元. 这表明利用当前技术的替代解决方案可能需要解决这些关键的健康不平等问题.
科学领域:
- 生物医学工程 生物医学工程
- 卫生公平研究 卫生公平研究
- 医疗保健经济学 医疗保健经济学
背景情况:
- 脉冲氧计准确度差异不成比例地影响着有色人种患者,导致不良的临床结果.
- 硬件更换的要求存在,但相关的成本仍然未知.
- 解决这些差异对于改善患者安全和公平护理至关重要.
研究的目的:
- 估计医院系统中更换所有脉冲氧计硬件的财务成本.
- 为提供有关脉冲氧计精度差异解决方案的知情决策提供数据.
主要方法:
- 一个单中心调查于2023年在一个拥有三个医院的学术医疗中心进行.
- 对现有车队的89.5%的新型和二手脉冲氧度仪器的当前市场价格被收集.
- 成本的计算是基于每张床的更换费用和全系统整合.
主要成果:
- 替换脉冲氧计硬件的平均设备成本为每张床15704.12美元.
- 医疗系统的整体更换和整合成本估计在2850万美元至3180万美元之间.
- 对美国5564家医院的额外推算的国家成本可能达到141亿美元.
结论:
- 简单地更换脉冲氧计硬件不是一个简单,便宜或及时的解决方案.
- 巨大的财务负担需要探索替代策略.
- 利用当前的技术可能为解决脉冲氧计准确度差异提供更可行的解决方案.
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