医疗系统对提供前列腺癌决策援助的成本的观点,使用基于时间驱动的活动的成本计算
David R Ho1, Robert Kaplan2, Jonathan Bergman1,3
1Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Medical care
|November 9, 2023
概括
为患有前列腺癌的男性提供预科决策辅助器 (DA) 的成本较低,特别是与电子健康记录 (EHR) 集成时. 这种成本效益支持在医疗保健系统中更广泛地采用.
科学领域:
- 卫生经济学 卫生经济学
- 决策科学科学 决策科学
- 医疗服务研究 医疗服务研究
背景情况:
- 预见性决策辅助器 (DAs) 显示出改善患者决策质量的前景.
- 部署DA的成本没有明确定义,阻碍了卫生系统的采用.
研究的目的:
- 确定提供决策辅助工具 (DA) 的卫生系统成本.
主要方法:
- 在三个机构进行的观察性队列研究.
- 流程映射和基于时间驱动的基于活动的成本,用于DA交付.
- 测量诊所访问的长度和决策质量.
主要成果:
- 每名患者的平均费用从38.32美元到59.96美元不等.
- 劳动力是最大的成本组成部分.
- 电子健康记录 (EHR) 的整合证明了成本效益和减少诊所访问时间.
结论:
- 基于时间驱动的基于活动的成本计算有效地识别了服务交付成本和成本控制机会.
- 提供DA的成本明显低于前列腺癌的治疗成本.
- 电子健康记录集成提高了DA交付效率,并带来了巨大的成本节约.
相关概念视频
Health Information Technology and Healthcare Information System
847
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
847
Methods of Documentation VI: Case Management Model
576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
576
Cancer Survival Analysis
357
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
357
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Actuarial Approach
80
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
80


