潜在的可避免的尿病的急诊室访问的发生率和成本
Sara Jordan Chadwick, Om Dave, James Frisbie
1Department of Urology, University of North Carolina at Chapel Hill, POB 170 Manning Dr, CB# 7235, Chapel Hill, NC 27599-7235.
The American journal of managed care
|November 10, 2023
概括
大约8%的急诊室 (ED) 访问尿病可能是可以避免的,每年花费数百万美元. 针对非临床因素可以减少医疗保健支出,而不会影响医疗保健质量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 尿酸结石 (结石) 是急诊室 (ED) 访问的常见原因,每年影响数百万人.
- 大多数尿病例不需要住院或手术干预.
- 可能可以避免的尿病ED访问的经济负担需要进行调查.
研究的目的:
- 为了确定与可能可避免的尿病ED访问相关的患者和设施因素.
- 量化这些可避免的ED访问的经济后果.
主要方法:
- 佛罗里达州和纽约全付费者数据 (2016年医疗保健成本和利用项目) 的回顾性分析.
- 可以避免的访问的定义:在没有干预,入院或转诊的情况下,随后的ED遭遇.
- 多变量后勤和线性回归以确定预测因素和成本.
主要成果:
- 在167102例尿病ED病例中,7.9%是可能可以避免的,每年可能节省9470万美元.
- 可以避免的 ($2098) 与不可避免的 ($5885) 访问的平均遭遇成本明显较低.
- 小都市社区护理和西班牙裔种族与较少的可避免访问有关,而并发症则是保护性的.
结论:
- 有机会通过加强门诊尿病治疗来降低医院成本.
- 非临床因素影响了可能可以避免的ED访问,提供了降低成本的途径,而不会影响护理质量.
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