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鉴定感染性败血症病例支出中医院间变化的来源 护理费用
Roshun Sankaran1, Baris Gulseren2,3, Hallie C Prescott4
1Department of Radiology, University of California San Diego, San Diego, CA.
Medical care
|April 16, 2024
概括
对于败血症护理的医院间支出变化是显著的,而更高的成本主要是由急性后护理费用驱动的. 了解这些驱动因素可以优化败血症事件的支出.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 败血症护理研究研究
背景情况:
- 败血症护理需要大量的医疗保健费用.
- 在各医院之间,病期支出存在显著差异.
- 识别成本驱动因素对于资源优化至关重要.
研究的目的:
- 为了评估90天的败血症总发作支出在医院间的变化.
- 估计每个支出组成部分的贡献.
- 识别整个分布的败血症护理支出驱动因素.
主要方法:
- 对324,694名败血症患者的医疗保险服务费索赔的分析 (2014年10月至2018年9月).
- 利用多重线性回归与医院级固定效应.
- 采用定量回归来分析整个分配的支出驱动因素.
主要成果:
- 平均90天的节目支出从23,150美元 (最便宜的四分之一) 到30,500美元 (最昂贵的四分之一) 不同.
- 在最昂贵的四分位数中,急性护理后的支出几乎是最昂贵的四分位数的两倍,占支出差异的51%.
- 女性性别,并发症,城市医院和BPCI-A参与与支出增加相关,特别是在更高的支出水平.
结论:
- 在90天的败血症发作支出中,医院间的差异很大.
- 在急性后护理支出上的差异是这种变化的主要驱动因素.
- 针对急性后护理的利用率可能会减少支出差异.
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