治疗COVID-19患者的住院费用
Kandice A Kapinos1, Richard M Peters2, Robert E Murphy3
1RAND Corporation, Arlington, Virginia.
JAMA network open
|January 3, 2024
概括
两年来,COVID-19住院护理的平均医院费用大幅增加,超过医疗通货膨胀率的五倍. 这一增长部分是由于增加了体外膜氧化 (ECMO) 的使用.
科学领域:
- 卫生经济学 卫生经济学
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 由于COVID-19的流行病导致超过620万美国住院,需要了解住院护理费用.
- 准确的成本数据对于评估国家医疗资源利用率和为公共卫生政策提供信息至关重要.
- 由于流行病浪潮和患者人口统计数据造成的成本变化需要详细检查.
研究的目的:
- 为了确定COVID-19患者住院护理的平均成本.
- 分析这些成本在不同的流行浪潮中是如何变化的.
- 根据患者的社会人口统计学特征和并发症来调查成本差异.
主要方法:
- 一项横截面研究,利用2020年3月至2022年3月的住院患者水平数据.
- 数据来源于一个覆盖97%的美国学术医疗中心的存储库.
- 使用区域工资指数计算直接医院成本,并根据地理劳动力成本变化进行调整.
主要成果:
- 这项研究分析了841家医院的1,333,404次COVID-19相关住院住院.
- 每次住宿的调整平均成本从2020年3月的10,394美元增加到2022年3月的13,072美元.
- 肥胖患者 (额外费用2924美元) 和凝血缺陷患者 (额外费用3017美元) 的费用更高. 身体外膜氧化 (ECMO) 使用显著增加了成本,达到36,484.4美元.
结论:
- 调整后的COVID-19护理医院平均成本大幅上,超过医疗通货膨胀的五倍以上.
- 随着时间的推移,如ECMO等先进治疗方法的使用增加,导致成本上升.
- 了解这些成本动态对于未来的流行病准备和资源分配至关重要.
相关概念视频
00:59Hospitals-II
783
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
783
01:28Hospitals-I
849
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
849
01:28Pneumonia IV: Management
331
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
331
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
01:25Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K