为什么癌症患者的终身住院费用高? 一个前性队列研究
Ishwarya Balasubramanian1, Chetna Malhotra1,2,
1Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
Cancer medicine
|March 8, 2024
概括
癌症患者在生命的最后一年的高住院费用与维持护理有关. 将这种护理转移到临终关怀机构可以降低开支.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 癌症患者的住院费用在生命的最后一年很高.
- 这些增加成本的驱动因素仍然不太清楚.
研究的目的:
- 确定导致成本增加的入院类型和住院服务.
- 分析癌症患者生命最后一年的住院费用模式.
主要方法:
- 分析了439名已故转移性癌症患者的调查和计费记录.
- 基于每日成本,将住院患者的入院分类为低强度或高强度.
- 住院费用按服务类型进行分解,并检查患者的特点.
主要成果:
- 维持护理费用增加,而重症监护室 (ICU) 和手术费用在临近死亡时下降.
- 低强度入院显示了更高的维护护理成本和更低的手术/ICU成本.
- 患者对延长寿命的偏好和不准确的预后信念与更高的高强度住院费用相关.
结论:
- 降低住院费用可以通过利用低成本的设置,如宿舍维护护理.
- 尽量减少不有益的手术和ICU入院,也可以降低终身护理费用.
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