与实施4项全关节置换电子临床质量措施相关的成本节约 全国:2020-2040年
Patricia C Dykes, Mica Curtin-Bowen1, Calvin Franz2
1From the Brigham and Women's Hospital, Boston.
Journal of patient safety
|November 3, 2023
概括
电子临床质量测量 (eCQM) 在骨科中显示出显著的成本节约潜力. 实施这些数字工具可以降低医疗保健费用,改善患者的治疗结果,使医疗保健系统受益.
科学领域:
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
- 整形外科手术 整形外科手术
背景情况:
- 数字化转型和电子数据对于提高医疗保健结果,患者选择和降低成本至关重要.
- 关于通过电子临床质量测量 (eCQM) 可实现的具体节省成本的信息有限.
研究的目的:
- 评估美国医疗保健系统内四种骨科eCQM的实施成本和潜在成本节约.
- 预测实施这些eCQM的国家经济影响.
主要方法:
- 经济建模被采用,整合了出版文献和技术专家咨询的数据.
- 对部和膝盖关节整形手术成本的预测计算在低,中和高范围.
- 经验测试和专家意见为国家成本节约评估的经济模型提供了信息.
主要成果:
- 2020年预计的中期成本节约在每年每次eCQM从790万美元到3190万美元之间.
- 平均0.5%至5.1%的不良事件 (取决于措施) 是必要的,以节省成本超过实施费用.
- 所有四个评估的骨科eCQM都显示了节省成本的潜力.
结论:
- 电子临床质量测量提供了一条减少医疗保健支出和改善患者结果的途径.
- 在不增加医生的文档负担的情况下,可以实施eCQM.
- 医疗保险和医疗补助服务中心对eCQM的投资为减少骨科护理中的不良事件和成本提供了机会.
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