美元和理性:为专用创伤后护理中心提供财务理由
Amy Gore1, Gary Huck2, Soyon Bongiovanni2
1Division of Trauma and Surgical Critical Care (AG, PY, DHL), Department of Surgery, Rutgers-New Jersey Medical School, Newark, NJ.
Annals of surgery
|March 19, 2024
概括
创建创伤幸存中心 (CTS) 产生收入,而不是成本. 这种创伤护理模式改善了患者的随访,并增加了机构收入.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗保健经济学 医疗经济学
- 患者的治疗结果.
背景情况:
- 创伤幸存者专用中心 (CTS) 改善了严重受伤患者的后续治疗和护理.
- 建立CTS的高成本可能是其实施的障碍.
研究的目的:
- 确定创伤幸存者中心 (CTS) 是否是一种产生收入的服务,而不是经济负担.
- 分析由CTS管理的患者的财务影响.
主要方法:
- 使用了前后队列研究设计.
- 来自医院计费和成本会计系统的财务数据分析了在建立CTS之前 (PRE队列) 和之后 (CTS队列) 接受治疗的患者.
- 资格标准包括18岁以上的创伤患者,新创伤严重性得分≥16或ICU停留时间≥2天.
主要成果:
- 与PRE队列 (176名患者) 相比,CTS队列 (256名患者) 的后续访问 (1623人vs748人) 和后续手术 (98人vs26人) 显著增加.
- 每位CTS患者的平均净收入增加为7752美元,积极贡献率为4558.5美元.
- 对于该机构来说,CTS证明了投资的积极财务回报.
结论:
- 一个专门的创伤幸存中心 (CTS) 是创伤中心的有利可图的服务线.
- 关于CTS实施的财务担忧是毫无根据的;这些中心提高了患者的治疗成果和机构的财务健康.
- 建立CTS可以改善患者的康复轨迹,并对医院的财务表现做出积极贡献.
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