子宫动脉栓塞的真实成本:在干预放射学中基于时间驱动的活动的成本计算,超过3年的时间
Julie C Bulman1, Nicole H Kim2, Robert S Kaplan3
1Division Vascular and Interventional Radiology, Department of Radiology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts.
Journal of the American College of Radiology : JACR
|January 14, 2024
概括
了解子宫动脉栓塞 (UAE) 的成本至关重要. 消耗品,特别是栓塞剂,是最大的开支,在这种干预性放射学程序中提供了潜在的节省机会.
科学领域:
- 干预性放射学 干预性放射学
- 卫生经济学 卫生经济学
- 医疗成本分析 医疗成本分析
背景情况:
- 子宫动脉栓塞 (UAE) 是治疗子宫纤维瘤和腺肌的常见程序.
- 准确的成本评估对于医疗保健系统的效率至关重要.
- 基于时间驱动的基于活动的成本计算 (TDABC) 提供了一种精确的方法来评估直接医疗保健成本.
研究的目的:
- 在阿联程序中识别节省成本的机会.
- 应用准确的TDABC方法来分析阿联直接医疗保健成本.
- 基于主治医生的参与,比较程序成本,与与学员一起的主治医生.
主要方法:
- 对123例阿联门诊病例 (2020年1月至2022年12月) 的回顾性审查.
- 通过电子健康记录和员工采访捕获的利用时间.
- 使用TDABC计算成本,包括人员,设备和耗材费用.
主要成果:
- 平均阿联总成本为4267美元±1770美元.
- 消耗品是最高的成本驱动因素 (51%;2,162美元±811美元),主要是由于栓塞剂 (1,273美元±789美元).
- 与实习医生相比,与主治医生的程序只显示了较低的人员和设备成本,尽管整体成本没有显著差异.
结论:
- 消耗品占阿联成本的大部分.
- 栓塞剂和血管器械是消耗品成本的主要驱动因素.
- 栓塞剂使用的变化显著影响整体手术成本.
更多相关视频
05:31Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
5.6K
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
1.5K
相关概念视频
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...