基于证据的指导方针对荷兰的医疗保健利用和与盘相关的坐骨神经炎的成本的影响:基于人口的横截面研究
Juliëtte van Munster1,2, Mark W Noordenbos3, I J Y Halperin4,2
1Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands j.j.c.m.van_munster@lumc.nl.
BMJ open
|March 12, 2024
概括
基于证据的指导方针显著减少了荷兰的腰椎间盘 (LDH) 手术,手术减少了18%,每年节省1050万欧元. 这一轮工作优化了患者管理和医疗保健成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于证据的医学基于证据的医学.
- 神经外科 神经外科
背景情况:
- 腰椎间盘 (LDH) 是一种常见的疾病,影响医疗保健利用率和成本.
- 基于证据的指导方针的实施旨在优化LDH的治疗途径.
- 评估这些指南对外科实践的影响对于医疗保健政策至关重要.
研究的目的:
- 评估高质量的证据对荷兰LDH手术治疗的影响.
- 分析LDH患者医疗保健利用的变化,包括手术时间和成本.
- 确定指南实施与LDH医疗保健实践之间的关联.
主要方法:
- 使用基于人口的纵向数据 (2007-2020) 进行的回顾性,横截面研究.
- 数据来源于荷兰卫生保健局和NIVEL初级保健行政数据库.
- 包括被诊断患有腰椎退行性磁盘疾病的成年人,具有LDH和手术的特定标准.
主要成果:
- 确诊的LDH病例 (2007-2019) 增加了24%,与年度LDH手术减少18%形成对比.
- 在56岁以下的患者的磁盘切除术 (-22%) 和手术 (-18%) 中观察到显著的减少.
- 年度医疗保健费用减少了1050万欧元,早期手术干预显著减少.
结论:
- 荷兰LDH的医疗保健利用情况发生了重大变化,与基于证据的指导方针实施相一致.
- 观察到的手术程序的减少与医疗保健成本的大幅降低有关.
- 遵守基于证据的指导方针对于优化LDH患者的管理和资源分配至关重要.
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