减少手术后停留时间,这是值得的吗?
Syeda Amrah Hashmi1, Mohummad Hassan Raza Raja1, Aiman Arif2
1Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.
World journal of surgery
|March 9, 2024
概括
减少手术患者住院时间 (LOS) 可能不会显著降低成本,因为LOS和护理费用之间存在非线性关系. 大多数费用集中在手术日期,而不是停留的最后几天.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 医院管理局 医院管理局
背景情况:
- 减少手术患者住院时间 (LOS) 往往与成本节省有关.
- 这项研究质疑了减少LOS普遍影响医疗保健成本的假设,假设存在非线性关系.
研究的目的:
- 定义住院时间 (LOS) 和手术患者护理费用之间的关系.
- 调查减少LOS是否可以降低成本.
主要方法:
- 实时分析医院服务的分类账单.
- 包括一般,神经和整形外科的成年患者,4-14天的LOS.
- 将费用从巴基斯坦卢比转换为美元.
主要成果:
- 在LOS和住院护理费用之间观察到非线性关系.
- 在所有手术服务中,大部分成本集中在手术当天.
- 住院的最后一天对总费用贡献了很小的百分比 (2.4%-3.2%).
结论:
- 对手术患者的成本影响在术后期显著下降.
- 对于有效的成本控制策略来说,专注于直接的外科手术前期至关重要.
- 在关键的外科手术前期之后减少住院时间可能对整体成本的影响有限.
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