医疗资源的利用和中国喘相关的成本:一项为期一年的回顾性研究
Xueer Yang1, Tiantian Zhang1,2,3, Xuanyi Yang1
1College of Pharmacy, Jinan University, Guangzhou, 510632, China.
BMC pulmonary medicine
|November 22, 2023
概括
在中国,严重的喘带来了巨大的经济成本,主要是由于住院和恶化. 控制疾病的严重程度和并发症对于减少患者的财务负担至关重要.
科学领域:
- 肺部医学 肺部医学
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 严重和控制不良的喘存在重大未满足的需求和高的医疗保健利用率.
- 关于中国严重喘的经济负担的数据有限.
- 了解喘支出对于资源配置和患者管理至关重要.
研究的目的:
- 评估与中国喘相关的医疗资源利用 (MRU) 成本.
- 确定喘患者的主要成本驱动因素.
- 为了阐明喘对中国人口的经济负担.
主要方法:
- 对中国国家索赔数据库的回顾性分析 (2015年).
- 包括年龄在6岁以上,初级喘诊断的患者.
- 使用GINA和中国指南对喘严重程度进行分类;用于识别成本驱动因素的多重线性回归.
主要成果:
- 与轻度/中度组相比,严重喘患者的年度费用 (CNY 6,782) 和住院率 (57.0%) 较高.
- 在严重喘患者 (66.5%) 中,恶化的发生率显著更高.
- 疾病严重程度,控制状态,并发症,年龄和地区被确定为MRI成本的独立驱动因素.
结论:
- 喘给中国患者带来了巨大的经济负担.
- 严重的喘与显著更高的MRU和成本有关,主要是由于住院治疗.
- 专注于控制疾病严重程度和并发症对于减轻喘相关成本至关重要.
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