同时临终关怀的年龄组比较:成本效益分析
概括
对儿科患者的同时临终关怀减少了活体出院,但增加了医疗补助费用. 它对5岁以下的婴儿和幼儿最具成本效益.
科学领域:
- 卫生经济学 卫生经济学
- 儿科缓和护理 儿科缓和护理
- 医疗保健管理的管理
背景情况:
- 标准的宿舍护理是需要终身支持的儿科患者的典型方法.
- 同时的临终关怀提供了同时的息和急性医疗服务,可能会改变患者的结果和成本.
- 了解不同儿科年龄组同时护理的成本效益对于资源分配至关重要.
研究的目的:
- 评估同步住院护理与儿科患者标准住院护理的成本效益.
- 在四个不同的儿科年龄类别中分析这些成本:<1岁,15岁,614岁和1520岁.
- 为了确定特定于年龄的增量成本效益比率 (ICERs) 对并发护理.
主要方法:
- 利用国家医疗补助数据库,涵盖了2011年至2013年期间在宿舍注册的18,152名儿科患者.
- 针对特定年龄组的宿舍护理计算的每患者每月 (PPPM) 费用.
- 分析了增量成本效益比率 (ICERs),比较每个年龄组的并发护理与标准护理.
主要成果:
- 同时的临终关怀导致活体出院人数减少,但与标准护理相比,医疗补助总成本较高.
- 同时临终关怀的最具成本效益的年龄组是<1年 ($45 ICER) 和15年 ($49 ICER).
- 较老的儿科年龄组 (6-14岁和15-20岁) 经历了同时护理的显著更高的成本,ICER分别为217美元和107美元.
结论:
- 同时的临终关怀有效地减少了儿科患者活体出院的情况.
- 与并发护理相关的较高成本在最年轻的儿科年龄组 (<1岁和15岁) 中是最合理的.
- 医疗保健提供者和政策制定者在决定实施并发宿舍护理时,应考虑特定年龄的数据.
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