医院获得的肺炎对医疗保险计划的影响
Dian L Baker1, Karen K Giuliano2, Mark Desmarais3
1School of Nursing, California State University, Sacramento, California.
Infection control and hospital epidemiology
|October 25, 2023
概括
医院获得的肺炎 (HAP) 显著增加了医疗保险受益人的死亡风险和医疗保健费用. 优先考虑HAP预防对于医疗保险计划中的患者安全和护理质量至关重要.
科学领域:
- 医疗保健质量 医疗保健质量
- 患者安全 患者安全
- 传染病流行病学 传染病流行病学
背景情况:
- 医院获得的肺炎 (HAP) 在患者安全和护理质量方面是一个重大问题.
- HAP被认为是一个可以在很大程度上预防的医院获得的感染.
研究的目的:
- 提供关于2019年医疗保险受益人中HAP后果的证据.
- 量化HAP对死亡率,停留时间和成本的影响.
主要方法:
- 使用2019年医疗保险5%标准分析文件进行了回顾性病例控制研究.
- 根据DRG代码,疾病严重程度,年龄,性别和种族,对HAP的2,457名受益者与没有HAP的2,457名受益者进行了匹配.
- 分析了住院,门诊,医生和急症后护理机构的结果,直到出院后90天.
主要成果:
- 患有HAP的医疗保险受益者在90天内死亡的可能性是2.8倍.
- 患有HAP的幸存者平均经历了6.6个额外的住院日 (增加了69%).
- HAP增加了每位患者的护理费用,平均为每位患者14487美元 (24%).
结论:
- 与HAP相关的较高的死亡率和成本增加强调了它对Medicare受益人的影响.
- 优先考虑HAP预防对于加强医疗保险计划中的患者安全和质量倡议至关重要.
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