美国医院护理的专业费用,2016-2020年
Cora Peterson1, Likang Xu1, Scott D Grosse2
1National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
Medical care
|November 9, 2023
概括
专业费用是医院成本的下降部分. 更新的估计显示,住院和急诊护理的专业费率 (PFR) 下降,这表明需要进行调整以进行准确的财务分析.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健 金融 医疗保健 金融
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与医院费用相比,医院专业费用的诊断具体估计已经过时了,最新的综合数据是2004年至2012年的数据.
- 对医院出院数据的准确成本分析需要更新的专业费用比率 (PFR) 估计.
研究的目的:
- 更新使用最新数据的专业费率 (PFR) 估计.
- 为了将新的PFR估计与以前的发现进行比较.
- 通过医院出院数据增强成本分析机会.
主要方法:
- 利用了2016-2020年MarketScan住院患者入院和急诊室 (ED) 治疗和释放索赔数据.
- 计算PFR作为总支付除以仅为设施支付的支付.
- 采用了通用线性回归模型来确定按付款人类型和诊断类别调整的平均PFR.
主要成果:
- 住院患者入院的2016-2020年平均PFR为1.224 (商业) 和1.178 (医疗补助),比2004年的估计下降.
- 2016-2020年ED访问的PFR平均值为1.283 (商业) 和1.415 (医疗补助),也显示了自2004年以来的下降.
- 与之前的估计相比,专业费用占医院总费用的比例较小.
结论:
- 专业费用占整体医院护理支出的比例正在下降.
- 在使用医院设施的财务数据进行成本估计时,对专业费用的调整至关重要.
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