参与者肺癌查中的医疗保健利用率和成本 - 一个倾向匹配的经济分析
Alain Tremblay1, Shainur Premji2, Nguyen Xuan Thanh3
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
JTO clinical and research reports
|December 11, 2023
概括
高风险人群的肺癌查 (LCS) 显示出适度的门诊费用增加,主要是由于查检查. 在查和未查组之间,医疗保健总体成本和利用率仍然相似.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 肺癌查已被证明可以降低高风险人群的死亡率.
- 人们仍然担心与LCS计划相关的潜在下游医疗保健成本.
研究的目的:
- 在接受LCS的队列中比较医疗保健利用率和成本,而不是与倾向匹配的对照组.
- 在现实环境中评估LCS的经济影响.
主要方法:
- 一组651名LCS参与者的倾向与336个未查的对照进行了匹配.
- 在平均3.6年的随访期间,分析了医疗保健索赔,住院,门诊和相关费用.
主要成果:
- 被查的队列显示,索赔和门诊诊所的数量略有增加,但住院患者的数量没有增加.
- 在查组中,门诊接触成本更高,主要是由于计算机断层扫描 (CT) 查检查.
- 接受查和未接受查的组之间,每人/年平均总医疗费用没有显著差异.
结论:
- LCS与门诊费用的适度增加有关,主要来自查CT扫描.
- 在接受LCS和不接受LCS的个人之间,整体医疗保健成本和利用模式是可比的.
- 在没有大幅增加整体医疗保健支出的情况下,可以实施LCS.
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