炎症性肠病的医院成本及其决定因素在伊朗的多中心研究中
Sulmaz Ghahramani1, Hafez Shojaadini1,2, Ashkan Akbarzade1,2
1Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Middle East journal of digestive diseases
|November 29, 2023
概括
炎症性肠病 (IBD) 患者的医院费用受到住院时间,年龄和入院年龄的重大影响. 较长的住院时间,超过20.5天,与IBD的最高医疗费用有关.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 炎症性肠病 (IBD) 患者的医疗费用正在不断变化.
- 在当前的医疗保健环境中,监控这些成本至关重要.
- 成本模式的转变需要进行更新的分析.
研究的目的:
- 评估炎症性肠病 (IBD) 患者的住院费用.
- 为了确定IBD入院中较高的总医院费用的预测因素.
- 为IBD提供医疗保健成本管理策略的信息.
主要方法:
- 在三家伊朗医院 (2015-2021) 进行的横截面研究.
- 收集IBD患者的人口,临床和成本数据.
- 使用分类和回归树 (CART) 和量子回归森林 (QRF) 来分析成本预测因素.
主要成果:
- 在CART和QRF模型中,住院时间 (LOS) 是IBD医院费用的主要预测因素.
- 在QRF模型中,年龄和入院年份是显著的预测因素.
- 酒店住宿 (30.61%) 和药品 (23.40%) 成本占总医院开支的最大部分.
结论:
- 住院时间,患者年龄,入院年份和医院类型显著影响IBD患者的费用.
- 患有20.5天或更长时间LOS的患者承担了最高的医院费用.
- 这些发现为未来的诊断相关小组 (DRG) 政策提供了潜在的门.
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