全球低价值成像成本:系统审查
Elin Kjelle1, Ingrid Øfsti Brandsæter2, Eivind Richter Andersen2
1Department of Health Sciences, Gjøvik at the Norwegian University of Science and Technology (NTNU) at Gjøvik, Postbox 191, 2802, Gjøvik, Norway. elin.kjelle@ntnu.no.
Applied health economics and health policy
|March 1, 2024
概括
低价值的医学成像检查每年在全球耗资数十亿美元,这意味着巨大的机会成本. 减少这些不必要的测试可以节省高达95%的成本,而不会影响患者的护理.
科学领域:
- 卫生经济学 卫生经济学
- 医疗成像利用的利用方法
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 每年有超过36亿次成像检查,其中20-50%被认为是低价值的.
- 低价值的成像产生了相当大的机会成本,并降低了医疗保健的质量.
- 缺乏低价值成像成本的全球综合.
研究的目的:
- 系统地审查和综合与低价值诊断成像相关的全球成本.
- 量化不必要的医学成像程序的经济影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在Medline,Embase-Ovid,Cochrane Library和Scopus数据库中进行搜索.
- 包括2012年至2022年3月期间发表的经验研究,包括各种研究设计.
主要成果:
- 包括106项研究,主要来自美国 (76项研究) 和医院 (82项研究).
- 传统放射学是最常见的单一研究方式 (32项研究).
- 低价值成像的全球成本每年达到数十亿美元;减少高达95%是可行的,而不会伤害患者.
结论:
- 这是评估低价值成像的全球成本的首次系统审查.
- 通过减少不必要的成像的举措,存在显著的成本节约潜力.
- 解决低价值成像可以提高医疗保健的质量和效率,在资源分配挑战中.
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