用时间驱动的基于活动的成本计算来衡量紧急部门的住宿费用
Maureen M Canellas1, Marcella Jewell2, Jennifer L Edwards1
1Department of Emergency Medicine, University of Massachusetts T.H. Chan School of Medicine, Worcester, MA; Department of Emergency Medicine, UMass Memorial Health, Worcester, MA.
Annals of emergency medicine
|May 25, 2024
概括
住院患者进入急诊室 (ED) 是一个昂贵的危机. 这项研究发现,与直接住院护理相比,急性中风患者入院显著增加了医院费用,强调需要消除这种做法.
科学领域:
- 卫生经济学 卫生经济学
- 医院管理 医院管理
- 紧急医疗 紧急医疗
背景情况:
- 住院患者等待住院病床的急诊室 (ED) 登机是越来越严重的国家医疗保健危机.
- 这种做法给医院带来了巨大的财务负担,尽管可能造成财务损失.
研究的目的:
- 评估与住院患者的急诊室入院相关的具体成本.
- 为了比较寄宿医院与直接住院护理的财务影响.
主要方法:
- 在一个主要的城市学术医院进行了前性观察性研究.
- 基于时间驱动的基于活动的成本计算方法用于计算患者护理成本.
- 分析了医疗外科 (med/surg) 和重症监护室 (ICU) 住院费用与急性中风患者的住院费用.
主要成果:
- 急性中风患者的每日费用在医疗/外科院内 (1856美元) 比住院护理 (993美元) 高.
- 集中治疗室的入院费用 (2267美元) 也高于集中治疗室住院护理 (2165美元).
- 与旅行护士相关的护理时间和成本增加进一步加剧了因登机而造成的财务损失.
结论:
- 住院患者的急诊室住院费用高昂.
- 先进的成本会计方法证实了登机的重大财务影响.
- 消除ED登机对于减轻财务损失和提高医院效率至关重要.
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