揭示中风护理费用不断变化的格局:一个时间驱动的分析
Bill Hum1, Kamil Taneja1, Sean Bunachita2
1Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, United States.
概括
脑卒中对美国医疗保健系统的经济负担正在迅速增加. 年龄,男性性别和并发症等因素显著增加了中风护理费用.
科学领域:
- 卫生经济学 卫生经济学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 在美国,中风是导致死亡的主要原因.
- 脑卒中对医疗保健系统的经济影响需要进一步研究.
研究的目的:
- 计算与中风相关的年度累积和每位患者成本.
- 确定影响中风护理支出的人口统计和临床因素.
主要方法:
- 全国紧急情况部门样本 (NEDS) 数据库的回顾性分析.
- 从2006年到2019年对中风患者的成本的检查.
- 多变量线性回归用于识别成本驱动的患者特征.
主要成果:
- 2006年至2019年期间,与中风相关的总成本大幅升.
- 累计的急诊室 (ED) 费用增加了七倍,而住院 (IP) 费用几乎增加了三倍.
- 每位患者的ED费用增加了三倍,每位患者的IP费用增加了89%.
结论:
- 脑卒中对美国医疗保健系统造成了巨大的和日益增长的财务负担.
- 患者的年龄,男性性别,并发症和保险状况等因素与中风的医疗费用增加有关.
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