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门诊支持性瘤学对癌症护理成本和利用率的影响

Brooke Worster¹, Yifan Zhu², Gregory Garber¹

¹Department of Medical Oncology, Sidney Kimmel Cancer Center at Jefferson Health, Philadelphia, Pennsylvania, USA.

|April 20, 2024

概括

支持性瘤学 (SO) 护理显著减少了医院住院,急诊和晚期癌症患者的费用. 这表明 SO 是 SO.

科学领域:

在瘤学瘤学.
医疗保健服务研究医疗服务研究
抚慰性护理是一种缓解性护理.

背景情况:

支持性瘤学 (SO) 护理因其能够减轻症状严重程度,减少住院治疗和降低晚期癌症患者的医疗费用而得到认可.
这项研究专门研究了SO护理对该患者群体的医疗保健利用和相关成本的影响.

研究的目的:

评估支持性瘤治疗对医疗保健利用率和成本的影响.
为了比较接受SO护理的患者和没有接受SO护理的患者之间的医疗保健利用率和成本.

主要方法:

进行了一项回顾性分析,将在SO护理中的患者与三个不同的对照队列进行了比较.
从索赔数据库中提取了医疗保健利用率和成本数据,以估计SO组和对照组之间的差异.
该研究包括在2018年1月至2019年12月期间接受SO治疗的NCI指定癌症中心治疗的患者,与异步和当代队列进行比较.

主要成果:

接受SO护理的患者在注册后的30,60和90天内,住院入院 (27%-70%) 和急诊室访问 (16%-54%) 显著减少.
与所有对照组相比,在注册后90天,SO组的总医疗费用明显较低 (4.4%-24.5%).
对于所有利用和成本削减,观察到统计学意义 (p < .05).

结论:

支持性瘤治疗显然与晚期癌症患者的入院,急诊室访问和整体医疗费用减少有关.
这些发现表明,SO护理的整合可以导致更具成本效益的高级癌症管理.
建议探索创新的报销模式,以促进更广泛的采用,并提高对晚期癌症患者具有成本效益的SO护理的可访问性.

关键词:

晚期的癌症是晚期的癌症.癌症护理癌症护理紧急情况部门访问访问医疗保健成本医疗保健成本医疗保健利用率医疗保健利用率住院患者的入院情况抚慰性护理是一种缓解性护理.支持性瘤学支持性瘤学

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