用大数据分析土耳其25-基维生素D测试的成本分析:一个横截面研究
Mustafa Mahir Ulgu1, Murat Caglayan2, Naim Ata1
1Ministry of Health, Ankara, Turkiye.
Northern clinics of Istanbul
|October 13, 2023
概括
在土耳其,对维生素D检测的需求升了60%,特别是在初级保健中. 政策制定者应该考虑实验室信息系统的限制,以管理不断上升的25-基维生素D测试成本和使用.
科学领域:
- 临床生物化学 临床生物化学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 维生素D缺乏的高患病率需要增加25-氧维生素D (25(OH) D) 测试.
- 增加测试导致实验室成本和资源利用率上升.
研究的目的:
- 分析土耳其的25...OH) D测试的需求和成本趋势.
- 调查来自国家卫生信息系统的大数据对测试分析的影响.
主要方法:
- 利用了土耳其所有医学生物化学实验室的2017-2018年国家卫生系统数据.
- 计算了测试量,成本和在不同医疗机构的分布.
- 评价了前十个最昂贵的测试和25...OH) D测试的需求率.
主要成果:
- 在2017-2018年期间,医疗生物化学测试总数从142亿增加到171亿.
- 总体而言,OH) D测试量增加了60%,初级卫生实验室增加了115%.
- 尽管需求增加了60%,但25...OH) D测试的成本增加为23%.
结论:
- 特别是在初级保健机构,观察到25...OH) D测试需求的急剧增加.
- 政策制定者需要实施与指导方针一致的实验室信息系统限制.
- 对于控制成本和优化资源而言,对25...OH) D测试需求的战略管理至关重要.
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