在门诊三级护理中不适当使用实验室测试:对基于价值的医疗保健的影响
Nouf F Almasoud1, Mohammed A Aldosari1, Ahmed S Mahmoud1
1From the Department of Family Medicine and Polyclinics, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.
Saudi medical journal
|April 24, 2024
概括
不适当地重复常见的实验室测试,如甲状腺刺激激素 (TSH) 和维生素D的高,成本超过230万沙特里亚尔. 这凸显了改善实验室测试协议的需要.
科学领域:
- 临床实验室科学 临床实验室科学
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 重复的实验室检测对医疗保健支出做出了重大贡献.
- 优化测试订单对于在临床实践中有效分配资源至关重要.
研究的目的:
- 为了确定甲状腺刺激激素 (TSH),总胆固醇,维生素D和维生素B12测试的不适当重复率.
- 估计与不必要的重复实验室测试相关的财务成本.
主要方法:
- 一项回顾性队列研究分析了来自23,280名患者 (2018-2021) 的109,929项实验室测试.
- 不适当的测试重复是根据国际准则定义的.
- 根据医院的价格计算成本.
主要成果:
- 6.1%的重复实验室测试被认为不合适.
- 不适当的测试估计的财务成本超过了230万沙特里亚尔.
- 年龄,性别和国籍与不适当的测试重复有显著的相关性.
结论:
- 对于经常订购的实验室测试,发现了不适当的重复率很高.
- 紧急干预是必要的,以减少不必要的实验室测试和相关成本.
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