美国医院护理的复兴,2004-2019年
Kevin Quinn1, Christine Bredfeldt
1Independent researchers.
Medical care
|January 19, 2024
概括
从2004年到2019年,美国医院支出显著增加,主要原因是门诊病人的访问量增加,治疗强度增加和费用加价增加. 这些因素解释了医疗保健成本的大幅增长.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医院管理部门 医院管理部门
背景情况:
- 美国医院支出份额在2004年至2019年之间逆转了21年的下降.
- 分析重点是医院利用率,成本,费用和病例组合的变化.
研究的目的:
- 测量和解释医院利用率,成本,费用和住院病例组合的变化.
- 确定美国医院医疗保健支出增加的主要驱动因素.
主要方法:
- 利用美国医院协会年度调查,国家住院患者样本和医疗保健成本报告信息系统的数据.
- 使用因素分解来分析人口,利用率,单位成本和成本和费用加价的影响.
- 应用了全患者诊断相关群组算法来评估住院病例组合.
主要成果:
- 医院费用增加了三倍以上,达到4.11万亿美元,医院费用增加了两倍以上,达到9110亿美元 (2004-2019).
- 门诊访问增加了36%,每次访问的费用增加了119%,费用加价增加了52%.
- 每次出院的住院费用增加了88%,住院和门诊护理的治疗强度显著增加,病例组合增加了34%.
结论:
- 关键趋势包括快速的门诊访问增长,治疗强度增加和持续的标记增加.
- 增加治疗强度是2004年至2019年医院成本增长4.91亿美元的主要驱动因素.
- 调查结果突出了导致美国医疗保健成本上升的复杂因素.
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